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MISS SAMANTHA JO LYNETTE STATON DC
NPI 1124583885
Chiropractor in Tampa, FL

Active since February 07, 2019Accepts Medicare Assignment
17429 BRIDGE HILL CT, TAMPA, FL 33647(813) 983-7921 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 6, 2025, Feb 7, 2019 (2 updates tracked since 2019).

About Miss Samantha Jo Lynette Staton Dc NPPES

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

MISS SAMANTHA JO LYNETTE STATON DC (NPI 1124583885) is an individual chiropractor in Tampa, Florida, licensed in Florida (CH14555) and active in the NPI registry since February 2019. She is a graduate of Logan College Of Chiropractic (2023).

NPPES Registry Identity

NPI1124583885
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameMISS SAMANTHA JO LYNETTE STATONCredential: DC
Location Address17429 BRIDGE HILL CTTampa, FL 33647-3467
Mailing Address28360 Cr 280Carrollton, MO 64633-8560 · (660) 322-1712
Phone(813) 983-7921
Sole ProprietorNo
Medical School CMSLogan College Of ChiropracticGraduated 2023
Enumeration DateFebruary 7, 2019
Last NPPES UpdateAugust 6, 20252 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1124583885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH14555
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.
17429 BRIDGE HILL CT, Tampa, FL 33647
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Samantha Jo Lynette Staton Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426585670
PECOS Enrollment IDI20241230000892

Other Providers at the Same Location NPPES 6

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

SOUTHEAST ORTHOTICS INC
Durable Medical Equipment & Medical Supplies
17429 BRIDGE HILL CT, SUITE D
TAMPA, FL 33647
Hillsborough County (813) 615-2277
DR. TRAVIS ROBERT MOHR D.C.
Chiropractor (Rehabilitation)
17429 BRIDGE HILL CT
TAMPA, FL 33647
Hillsborough County (813) 990-9285
DR. CALEB FRANK D.C.
Chiropractor
17429 BRIDGE HILL CT
TAMPA, FL 33647
Hillsborough County (813) 893-7921
DR. JULIAN ANGEL DIAZ JR. DC
Chiropractor
17429 BRIDGE HILL CT
TAMPA, FL 33647
Hillsborough County (813) 983-7921
NORTH TAMPA SPINE & JOINT CENTER LLC
Chiropractor (Rehabilitation)
17429 BRIDGE HILL CT
TAMPA, FL 33647
Hillsborough County (813) 983-7921
DR. KORAKOT COHEN
Chiropractor
17429 BRIDGE HILL CT
TAMPA, FL 33647
Hillsborough County (813) 983-7921

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 Samantha Jo Staton's NPI number?

The NPI number for Samantha Jo Staton is 1124583885. It was assigned to this individual provider in the NPPES registry on February 7, 2019.

Where is Samantha Jo Staton located?

Samantha Jo Staton practices at 17429 Bridge Hill Ct, Tampa, FL 33647. The listed phone number is (813) 983-7921.

What is Samantha Jo Staton's specialty?

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

Is Samantha Jo Staton enrolled in Medicare?

Yes. Samantha Jo Staton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Samantha Jo Staton accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Providence Health Plan, UnitedHealthcare and Wellpoint list Samantha Jo Staton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samantha Jo Staton was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.