Jeff Davis D C PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHOOO3337 Issued in FL

Legal business name

JEFF DAVIS D C PA

Doing business as

Jeff Davis D C PA

Practice address

409 W Bloomingdale Ave
Brandon, FL 33511-7401

Phone

(813) 689-1883

Fax

(813) 684-9145

NPI assigned

Apr 16, 2007

Last updated

Oct 10, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Pamela Davies

Title

Office Manager

Phone

(813) 689-1883

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jeff Davis D C PA Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Lyle Davis, D.C.

  • Chiropractor
  • Brandon, FL
  • NPI 1801962089
  Medicare reassignment Care Compare group NPD
• Robert Fay Conine, D.C.

  • Chiropractor
  • Brandon, FL
  • NPI 1841456944
  Medicare reassignment Care Compare group
• Jacqueline L Fullerton, D.C.

  • Chiropractor
  • Brandon, FL
  • NPI 1013108257
  Medicare reassignment Care Compare group
• Michele Miller, DC

  • Chiropractor
  • Brandon, FL
  • NPI 1730394693
  NPD (past)
• Robert Kevin Valdes, DC

  • Chiropractor
  • Brandon, FL
  • NPI 1063558146
  NPD (past)
• Austin Gregory Williams

  • Chiropractor
  • Tampa, FL
  • NPI 1396201554
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1609091560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W BLOOMINGDALE AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W BLOOMINGDALE AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117401",
            "telephone_number": "813-689-1883",
            "fax_number": "813-684-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF DAVIS D C PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "DAVIES",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "813-689-1883",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CHOOO3337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "CHOOO3337",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeff Davis D C PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crystal Janto, RBT
• Bhumi Jasani, PT, TDPT
• Timothy Guy Jay, DC
• Flortile Jean-Baptiste, NP
• Christine Jean-Leon, RN, ADMN
• Alexander Jefferson
• Shayla Eleeza Jeffery, RCSWI
• Ana Gloria Jener, ITDS
• Kelly Marie Jeneus, OTR
• Brandi Jenkins

• Chiropractor in Brandon, FL
• Providers in Brandon, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.