1. Home
  2. Directory
  3. Florida
  4. Mary Esther
  5. Chiropractor
  6. NPI Profile

SEASIDE SPINE MARY ESTHER LLC
NPI 1174113922
Chiropractor in Mary Esther, FL

Active since January 25, 2021
208 MARY ESTHER BLVD, MARY ESTHER, FL 32569(850) 460-2362 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Seaside Spine Mary Esther Llc NPPES

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

SEASIDE SPINE MARY ESTHER LLC (NPI 1174113922) is a healthcare organization registered as a chiropractor in Mary Esther, Florida and active in the NPI registry since January 2021. The organization lists Ashlyn Kaye Newby, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1174113922
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSEASIDE SPINE MARY ESTHER LLC
Location Address208 MARY ESTHER BLVDMary Esther, FL 32569-1687
Mailing Address981 Highway 98 E Ste 9Destin, FL 32541-2588 · (850) 460-2362
Phone(850) 460-2362
Organization SubpartNo
Authorized OfficialAshlyn Kaye NewbyOperations Manager · (850) 460-2362
Enumeration DateJanuary 25, 2021
NPPES CertifiedJanuary 25, 2021
✔ NPI 1174113922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
208 MARY ESTHER BLVD, Mary Esther, FL 32569
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellpoint.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Seaside Spine Mary Esther Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Seaside Spine Mary Esther LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Samuel Barbee, D.C.
Chiropractic
NPI 1477974236
981 HIGHWAY 98 E SUITE 9
Destin, FL 32541
(850) 830-5407
11 mi
Jordan Booker, DC
Chiropractic
NPI 1528897923
7175 N DAVIS HWY STE H
Pensacola, FL 32504
(850) 602-9948
34 mi

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 Seaside Spine Mary Esther LLC's NPI number?

The NPI number for Seaside Spine Mary Esther LLC is 1174113922. It was assigned to this organization in the NPPES registry on January 25, 2021.

Where is Seaside Spine Mary Esther LLC located?

Seaside Spine Mary Esther LLC is located at 208 Mary Esther Blvd, Mary Esther, FL 32569. The listed phone number is (850) 460-2362.

What is Seaside Spine Mary Esther LLC's specialty?

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

Is Seaside Spine Mary Esther LLC enrolled in Medicare?

Yes. Seaside Spine Mary Esther LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Seaside Spine Mary Esther LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Seaside Spine Mary Esther LLC. 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.

What insurance does Seaside Spine Mary Esther LLC accept?

Health plans from Wellpoint list Seaside Spine Mary Esther LLC 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 Seaside Spine Mary Esther LLC was last updated on January 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.