Jeremiah Wesley Carlson

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9264 Issued in FL

Practice address

9010 R.G. Skinner Pkwy
Jacksonville, FL 32256-4157

Phone

(904) 619-2703

Fax

(904) 619-2837

NPI assigned

Aug 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 2006

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)

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 and National Provider Directory roles.

• Total Health Clinic LLC

  • Chiropractor
  • Jacksonville, FL
  • NPI 1912130840
  Medicare reassignment Care Compare group Authorized official
• Total Health Clinic LLC

  • Chiropractor
  • Jacksonville, FL
  • NPI 1235877341
  NPD Authorized official
• Harry W. Brown, Inc.

  • Chiropractor
  • Savannah, GA
  • NPI 1225058639
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1699787010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9010 R G SKINNER PKWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567280",
            "telephone_number": "904-619-2703",
            "fax_number": "904-619-2837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9010 R.G. SKINNER PKWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322564157",
            "telephone_number": "904-619-2703",
            "fax_number": "904-619-2837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "JEREMIAH",
        "middle_name": "WESLEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008062",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "CH9264",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlson Health Promotion
• Dianna Carlson-Bright
• Aleia Carlson, OTD, OTR/L
• David Nylas Carlson, D.O.
• Dawn Carlson, PH.D.
• Jeremy Carlson
• Joanne L Carlson, MD
• Mary Elizabeth Carlson, M.A., CCC-SLP
• Melanie Wesner Carlson
• Richard D Carlson, DMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.