Noah Clayton-John Beaudry, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

15298 Issued in FL

Practice address

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

Phone

(904) 624-1321

Fax

(904) 624-1789

NPI assigned

Jun 1, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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.

• Sunshine Spine Clinic PLLC

  • Chiropractor
  • Fernandina Beach, FL
  • NPI 1811860604
  Medicare reassignment NPD Authorized official
• Glass Chiropractic Clinic PS

  • Chiropractor
  • Spokane, WA
  • NPI 1831311521
  NPD (past)

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

{
    "created_epoch": "1370044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1952748873",
    "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": {
        "last_name": "BEAUDRY",
        "first_name": "NOAH",
        "middle_name": "CLAYTON-JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-01",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "15298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Thomas Barnard, AU.D.
• Kim Bartek
• James Richard Beal, PHARMD
• Beall & Associates Inc.
• Byron Frank Beall, LCSW, BCBA
• Robin A Beck, MD
• Sharon Belcher, ARNP
• Benjamin N. Diller, DDS, PA
• Scott R Bergquist
• Joshua R Beyl

• 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.
• 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.