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COOPER CHIROPRACTIC AND FAMILY WELLNESS INC
NPI 1003103623
Chiropractor in Jacksonville, FL

Active since July 03, 2011
4350 PABLO PROFESSIONAL CT # 110, JACKSONVILLE, FL 32224(904) 619-8229(904) 329-2646 Get Directions Write a Review

NPPES record last updated: July 3, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Cooper Chiropractic And Family Wellness Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COOPER CHIROPRACTIC AND FAMILY WELLNESS INC (NPI 1003103623) is a healthcare organization registered as a chiropractor in Jacksonville, Florida and active in the NPI registry since July 2011. The organization lists Jordan Cooper, Owner, as its authorized official.

NPPES Registry Identity

NPI1003103623
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCOOPER CHIROPRACTIC AND FAMILY WELLNESS INC
Location Address4350 PABLO PROFESSIONAL CT # 110Jacksonville, FL 32224-3224
Mailing Address4350 Pablo Professional Ct # 110Jacksonville, FL 32224-3224 · (904) 619-8229 · Fax (904) 329-2646
Phone(904) 619-8229
Fax(904) 329-2646
Organization SubpartNo
Authorized OfficialJordan CooperOwner · (904) 619-8229
Enumeration DateJuly 3, 2011
✔ NPI 1003103623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH 10344
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
4350 PABLO PROFESSIONAL CT # 110, Jacksonville, FL 32224
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cooper Chiropractic And Family Wellness Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Cooper Chiropractic And Family Wellness Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jordan Cooper, D.C.
Chiropractic
NPI 1356639256
4350 PABLO PROFESSIONAL CT # 110
Jacksonville, FL 32224
(904) 619-8229
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cooper Chiropractic And Family Wellness Inc's NPI number?

The NPI number for Cooper Chiropractic And Family Wellness Inc is 1003103623. It was assigned to this organization in the NPPES registry on July 3, 2011.

Where is Cooper Chiropractic And Family Wellness Inc located?

Cooper Chiropractic And Family Wellness Inc is located at 4350 Pablo Professional Ct # 110, Jacksonville, FL 32224. The listed phone number is (904) 619-8229.

What is Cooper Chiropractic And Family Wellness Inc's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Cooper Chiropractic And Family Wellness Inc enrolled in Medicare?

Yes. Cooper Chiropractic And Family Wellness Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cooper Chiropractic And Family Wellness Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Cooper Chiropractic And Family Wellness Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Cooper Chiropractic And Family Wellness Inc was last updated on July 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.