Individual provider Active NPI

Giorgia Carletti, DC

  • Chiropractor
  • Fernandina Beach, FL
National Provider Identifier
1972231488
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH14128 Issued in FL
Practice address
1416 Park Ave Unit 102
Fernandina Beach, FL 32034-1901
Phone
(904) 775-8949
NPI assigned
Aug 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH14128 FL Primary

Addresses

Primary practice location

1416 Park Ave Unit 102
Fernandina Beach, FL 32034-1901

Mailing address

1416 Park Ave Ste 102
Fernandina Beach, FL 32034-1901
Phone (904) 775-8949

Other identifiers 1

IdentifierTypeStateIssuer
1528504156OtherFLNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220915002542 FL Practitioner - Chiropractic 0749665404 Reassigns benefits to 1 organization
I20250218000180 AL Practitioner - Chiropractic 0749665404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cove Chiropractic IncGroup PAC ID 1557795143, 2 clinicians

Practice addresses (Care Compare)

7900 Bailey Cove Rd SE
Suite 6
Huntsville, AL 35802-3341
Phone (256) 888-2683

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH14128FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cove Chiropractic Inc. Chiropractor CurrentSince Jan 1, 2025 Accepting new patients
8 Flags Chiropractic Chiropractor CurrentSince Aug 1, 2022 Accepting new patients

Locations

7900 Bailey Cove Rd SE
Ste 6
Huntsville, AL 35802
Phone (256) 883-6318

5422 First Coast Hwy
Ste 118
Amelia Island, FL 32034
Phone (904) 775-8949

1416 Park Ave
Ste 102
Fernandina Beach, FL 32034

Organizations & group practices 2

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": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1972231488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 PARK AVE STE 102",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320341901",
            "telephone_number": "904-775-8949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 PARK AVE UNIT 102",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320341901",
            "telephone_number": "904-775-8949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLETTI",
        "first_name": "GIORGIA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1528504156",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.