Active NPI
Jared Hamilton, DC
- Chiropractor
- Jacksonville, FL
National Provider Identifier
1841016953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH15243
- Practice address
- 11048 Baymeadows Rd Unit 2
Jacksonville, FL 32256-9583 - Phone
- (904) 363-3327
- NPI assigned
- Nov 25, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH15243 | FL | Primary |
Addresses
Primary practice location
11048 Baymeadows Rd Unit 2
Jacksonville, FL 32256-9583
Mailing address
41 Pilgrim Dr
Palm Coast, FL 32164-7067
Phone (904) 505-9210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH15243 | Other | FL | CHIROPRACTIC LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH15243 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732492800000",
"number": "1841016953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 PILGRIM DR",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321647067",
"telephone_number": "904-505-9210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11048 BAYMEADOWS RD UNIT 2",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322569583",
"telephone_number": "904-363-3327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "JARED",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-11-25",
"last_updated": "2024-11-25",
"certification_date": "2024-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH15243",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTIC LICENSE",
"identifier": "CH15243",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.