Organization Active NPI

Growth Chiropractic LLC

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1902544364
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GROWTH CHIROPRACTIC LLC
Practice address
14011 Beach Blvd Ste 240
Jacksonville, FL 32250-1694
Phone
(904) 339-5667
NPI assigned
May 25, 2022
Last updated
Jul 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Authorized official

Name
Chevonne Horvath, DCNPI 1104598580
Title
Manager
Phone
(904) 625-7144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

14011 Beach Blvd Ste 240
Jacksonville, FL 32250-1694

Mailing address

178 Muirfield Dr
Ponte Vedra Beach, FL 32082-3932
Phone (904) 625-7144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240904000108 FL Part B Supplier - Clinic/Group Practice 3779922075 Receives reassigned benefits from 1 practitioner
Practice locations: Jacksonville, FL

National Provider Directory

National Provider Directory

Locations

14011 Beach Blvd
Ste 240
Jacksonville, FL 32250
Phone (904) 339-5667

14011 Beach Blvd
#240
Jacksonville Beach, FL 32250

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1902544364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 MUIRFIELD DR",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320823932",
            "telephone_number": "904-625-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14011 BEACH BLVD STE 240",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322501694",
            "telephone_number": "904-339-5667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWTH CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "HORVATH",
        "authorized_official_first_name": "CHEVONNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-625-7144",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.