Individual provider Active NPI

Kenneth Michael Talley, D.C.

  • Chiropractor
  • Pensacola, FL
National Provider Identifier
1902090756
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH14051 Issued in FL
Practice address
1449 W Nine Mile Rd Ste 5
Pensacola, FL 32534-5384
Phone
(850) 473-5555
Fax
(850) 332-7647
NPI assigned
Sep 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2218 AL
Chiropractor 111N00000X CH14051 FL Primary

Addresses

Primary practice location

1449 W Nine Mile Rd Ste 5
Pensacola, FL 32534-5384

Mailing address

1090 Scenic Hwy
Pensacola, FL 32503-6617
Phone (850) 473-5555

Other practice location 1

1090 Scenic Hwy
Pensacola, FL 32503-6617
Phone (850) 473-5555 ext. 3

Other practice location 2

4650 Woodbine Rd
Pace, FL 32571-8717
Phone (850) 473-5555

Other practice location 3

10200 Eastern Shore Blvd Ste 106
Spanish Fort, AL 36527-5816
Phone (251) 621-4037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080124000595 AL Practitioner - Chiropractic 3173605540 Reassigns benefits to 1 organization
I20230207000371 FL Practitioner - Chiropractic 3173605540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Cejr Health Services LLCGroup PAC ID 0042665440, 3 clinicians
Healthsource of Northwest Florida LLCGroup PAC ID 0143387779, 6 clinicians

Practice addresses (Care Compare)

10200 Eastern Shore Blvd
Suite 106
Spanish Fort, AL 36527-5816
Phone (251) 621-4037

1449 W Nine Mile Rd
Suite 5
Pensacola, FL 32534-5384
Phone (850) 473-5555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2218ALMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cejr Health Services, LLC Chiropractor CurrentSince Oct 1, 2025 Accepting new patients
Healthsource of Northwest Florida LLC Chiropractor CurrentSince Nov 21, 2022 Accepting new patients
Hsinvestsf Chiropractor CurrentSince Oct 1, 2025 Accepting new patients
Modern Chiropractic Chiropractor Past Accepting new patients

Locations

10200 Eastern Shore Blvd
Ste 106
Spanish Fort, AL 36527
Phone (251) 621-4037

4650 Woodbine Rd
Pace, FL 32571
Phone (850) 473-5555

2122 W Nine Mile Rd
Pensacola, FL 32534
Phone (850) 473-5555

1090 Scenic Hwy
Pensacola, FL 32503
Phone 8504735555 ext. 3

1449 W Nine Mile Rd
Ste 5
Pensacola, FL 32534
Phone (850) 473-5555

Organizations & group practices 4

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": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1902090756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 SCENIC HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325036617",
            "telephone_number": "850-473-5555",
            "fax_number": "850-332-7647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 W NINE MILE RD STE 5",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325345384",
            "telephone_number": "850-473-5555",
            "fax_number": "850-332-7647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1090 Scenic Hwy",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325036617",
            "country_code": "US",
            "telephone_number": "850-473-5555 x3",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4650 Woodbine Rd",
            "address_purpose": "LOCATION",
            "city": "Pace",
            "state": "FL",
            "postal_code": "325718717",
            "country_code": "US",
            "telephone_number": "850-473-5555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10200 Eastern Shore Blvd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Spanish Fort",
            "state": "AL",
            "postal_code": "365275816",
            "country_code": "US",
            "telephone_number": "251-621-4037",
            "fax_number": "251-930-6338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALLEY",
        "first_name": "KENNETH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-04",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2218",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; 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.