Organization Active NPI

Neal Clinic Comprehensive Healthcare, P.L.

  • Chiropractor
  • Pensacola, FL
National Provider Identifier
1609199835
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NEAL CLINIC COMPREHENSIVE HEALTHCARE, P.L.
Practice address
2629 Creighton Rd
Suite #1
Pensacola, FL 32504-7340
Phone
(850) 479-2700
Fax
(850) 478-1631
NPI assigned
Mar 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Authorized official

Name
Dr. Benjamin McMillon, D.C.NPI 1083275101
Title
Owner/Employee
Phone
(850) 479-2700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2629 Creighton Rd
Suite #1
Pensacola, FL 32504-7340

Mailing address

2629 Creighton Rd
Suite #1
Pensacola, FL 32504-7340
Phone (850) 479-2700

Other identifiers 1

IdentifierTypeStateIssuer
88835OtherFLMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100320000025 FL Part B Supplier - Clinic/Group Practice 1557496270 Receives reassigned benefits from 2 practitioners
Practice locations: Pensacola, FL

National Provider Directory

National Provider Directory

Locations

2629 Creighton Rd
Pensacola, FL 32504

2629 Creighton Rd
Ste 1
Pensacola, FL 32504
Phone (850) 479-2700

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1609199835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 CREIGHTON RD",
            "address_2": "SUITE #1",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325047340",
            "telephone_number": "850-479-2700",
            "fax_number": "850-478-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 CREIGHTON RD",
            "address_2": "SUITE #1",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325047340",
            "telephone_number": "850-479-2700",
            "fax_number": "850-478-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEAL CLINIC COMPREHENSIVE HEALTHCARE, P.L.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-02",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "MCMILLON",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER/EMPLOYEE",
        "authorized_official_telephone_number": "850-479-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "88835",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.