Individual provider Active NPI

Evan P Welfare, DC

  • Chiropractor
  • Orange Park, FL
National Provider Identifier
1659823599
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11934 Issued in FL
Practice address
1820 Park Ave
Orange Park, FL 32073-4913
Phone
(904) 795-1991
Fax
(904) 795-1999
NPI assigned
Oct 26, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH11934 FL Primary

Addresses

Primary practice location

1820 Park Ave
Orange Park, FL 32073-4913

Mailing address

542 George Watson St
Orange Park, FL 32073-8562
Phone (904) 532-3781

Other practice location 1

542 George Watson St
Orange Park, FL 32073-8562
Phone (904) 532-3781

Other practice location 2

847 Park Ave Ste 2
Orange Park, FL 32073-4117
Phone (904) 795-1991

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170109001186 FL Practitioner - Chiropractic 5395026272 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Health Clinic LLCGroup PAC ID 4183925480, 2 clinicians

Practice addresses (Care Compare)

542 George Watson St
Orange Park, FL 32073-8562
Phone (904) 795-1991

9010 RG Skinner Pkwy
Jacksonville, FL 32256-4157
Phone (904) 619-2703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bracken Family Chiropractic Center PA Chiropractor CurrentSince Aug 1, 2022 Accepting new patients
Total Health Clinic LLC Chiropractor CurrentSince May 10, 2024 Accepting new patients

Locations

9010 R G Skinner Pkwy
Jacksonville, FL 32256
Phone (347) 469-7633

461 Kingsley Ave
Orange Park, FL 32073
Phone (904) 213-9805

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1659823599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 GEORGE WATSON ST",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320738562",
            "telephone_number": "904-532-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 PARK AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734913",
            "telephone_number": "904-795-1991",
            "fax_number": "904-795-1999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "542 George Watson St",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320738562",
            "country_code": "US",
            "telephone_number": "904-532-3781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "847 Park Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320734117",
            "country_code": "US",
            "telephone_number": "904-795-1991",
            "fax_number": "904-795-1999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELFARE",
        "first_name": "EVAN",
        "middle_name": "P",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-26",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.