Thomas Patrick Beckerton, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH11597 Issued in FL

Practice address

463392 East State Road 200
Yulee, FL 32097

Phone

(904) 491-1345

Fax

(904) 513-9206

NPI assigned

Jul 15, 2015

Last updated

Dec 18, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2012

Medicare assignment

May accept Medicare assignment

Group practices

Beckerton Chiropractic PLLCGroup PAC ID 7810265394, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Beckerton Chiropractic PLLC

  dba Fernandina Chiropractic Center

  • Chiropractor
  • Yulee, FL
  • NPI 1770018467
  Medicare reassignment Care Compare group NPD Authorized official
• Sanitas Systems, Inc

  • Durable Medical Equipment & Medical Supplies
  • Jacksonville, FL
  • NPI 1124425525
  NPD (past)
• Summit Integrative Health, LLC

  • General Practice Physician
  • Jacksonville, FL
  • NPI 1295202984
  NPD (past)
• The Doctors Center Urgent Care

  • General Practice Physician
  • Jacksonville, FL
  • NPI 1841695533
  NPD (past)

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639785600000",
    "number": "1669856076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463392 EAST STATE ROAD 200",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "32097",
            "telephone_number": "904-491-1345",
            "fax_number": "904-513-9206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463392 EAST STATE ROAD 200",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "32097",
            "telephone_number": "904-491-1345",
            "fax_number": "904-513-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKERTON",
        "first_name": "THOMAS",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-15",
        "last_updated": "2021-12-18",
        "certification_date": "2021-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "II011Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana Bastidas Vallejo, MSW, LCSW
• Christine Baum, MS
• Beacon in Home Health LLC
• Morgan Riley Beck
• Beckerton Chiropractic PLLC (Fernandina Chiropractic Center)
• Amy E. Beckham, O.D.
• Beckham's Holdings,LLC
• Jeffrey Paul Berteau
• Kyle K Bishop, LCPC, LMHC, LPC
• Lauren Bissette

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2021; 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.