Individual provider Active NPI

Ayla Rose Yarbrough, DC

  • Chiropractor
  • St. Johns County, FL
National Provider Identifier
1659904571
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12949 Issued in FL
Practice address
1620 County Road 210
St. Johns County, FL 32259
Phone
(504) 754-6447
NPI assigned
Feb 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH12949 FL Primary

Addresses

Primary practice location

1620 County Road 210
St. Johns County, FL 32259

Mailing address

1600 Mall of Georgia Blvd Ste 1110
Buford, GA 30519-8746

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210519000985 FL Practitioner - Chiropractic 2264831510 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH12949FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
100 Percent Chiropractic Yarbro LLC Chiropractor CurrentSince Apr 28, 2021 Accepting new patients
100 Chiro Martin Sanders PLLC Chiropractor Current Accepting new patients
100 Percent Chiropractic Atlanta Two LLC Chiropractor PastSince Feb 23, 2020 Accepting new patients

Locations

12675 Beach Blvd
Ste 302
Jacksonville, FL 32246
Phone (904) 330-4422

1620 County Road 210 W
St Johns, FL 32259
Phone (504) 754-6447

1600 Mall of Georgia Blvd
Ste 1110
Buford, GA 30519
Phone (770) 614-1009

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": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1659904571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MALL OF GEORGIA BLVD STE 1110",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305198746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 COUNTY ROAD 210",
            "city": "ST. JOHNS COUNTY",
            "state": "FL",
            "postal_code": "32259",
            "telephone_number": "504-754-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARBROUGH",
        "first_name": "AYLA ROSE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Johns County, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.