Sunshine Spine Clinic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SUNSHINE SPINE CLINIC PLLC

Practice address

961687 Gateway Blvd Ste 101B
Fernandina Beach, FL 32034-9158

Phone

(904) 624-1321

Fax

(904) 624-1789

NPI assigned

Sep 26, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Noah Beaudry, DCNPI 1952748873

Title

Owner/Ceo

Phone

(904) 624-1321

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Noah Clayton-John Beaudry, D.C.

  • Chiropractor
  • Fernandina Beach, FL
  • NPI 1952748873
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1758844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758844800000",
    "number": "1811860604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961687 GATEWAY BLVD STE 101B",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320349158",
            "telephone_number": "904-624-1321",
            "fax_number": "904-624-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961687 GATEWAY BLVD STE 101B",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320349158",
            "telephone_number": "904-624-1321",
            "fax_number": "904-624-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE SPINE CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-26",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A",
        "authorized_official_last_name": "BEAUDRY",
        "authorized_official_first_name": "NOAH",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "904-624-1321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tae Y Rho MD PA

• Chiropractor in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; 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.