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DR. CARLY NEWSOME DC
NPI 1083436182
Chiropractor in Ponte Vedra, FL

Active since October 29, 2024
4220 VALLEY RIDGE BLVD STE 106, PONTE VEDRA, FL 32081(904) 217-0361 Get Directions Write a Review

NPPES record last updated: October 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Carly Newsome Dc NPPES

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

DR. CARLY NEWSOME DC (NPI 1083436182) is an individual chiropractor in Ponte Vedra, Florida, licensed in Florida (15247) and active in the NPI registry since October 2024. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1083436182
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. CARLY NEWSOMECredential: DC
Location Address4220 VALLEY RIDGE BLVD STE 106Ponte Vedra, FL 32081-5173
Mailing Address10961 Burnt Mill Rd Apt 126Jacksonville, FL 32256-4674 · (904) 217-0361
Phone(904) 217-0361
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 29, 2024
Last NPPES UpdateOctober 18, 2025
NPPES CertifiedOctober 18, 2025
✔ NPI 1083436182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · 15247
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.
4220 VALLEY RIDGE BLVD STE 106, Ponte Vedra, FL 32081
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carly Newsome Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436640265
PECOS Enrollment IDI20251119001154

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EAST COAST FAMILY CHIROPRACTIC PLLC
Chiropractor
4220 VALLEY RIDGE BLVD STE 106
PONTE VEDRA BEACH, FL 32081
St. Johns County (904) 217-0361
DR. MORGAN LINDER JONES DC
Chiropractor
4220 VALLEY RIDGE BLVD STE 106
PONTE VEDRA BEACH, FL 32081
St. Johns County (904) 217-0361

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 Carly Newsome's NPI number?

The NPI number for Carly Newsome is 1083436182. It was assigned to this individual provider in the NPPES registry on October 29, 2024.

Where is Carly Newsome located?

Carly Newsome practices at 4220 Valley Ridge Blvd Ste 106, Ponte Vedra, FL 32081. The listed phone number is (904) 217-0361.

What is Carly Newsome's specialty?

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

Is Carly Newsome enrolled in Medicare?

Yes. Carly Newsome is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carly Newsome was last updated on October 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.