MISS CHAD P SHAW DC
NPI 1215901806
Chiropractor in Jacksonville, FL

Active since February 13, 2006
8705 PERIMETER PARK BLVD, SUITE 6, JACKSONVILLE, FL 32216(904) 997-1349(904) 997-1369 Get Directions Write a Review

NPPES record last updated: October 3, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Miss Chad P Shaw Dc NPPES

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

MISS CHAD P SHAW DC (NPI 1215901806) is an individual chiropractor in Jacksonville, Florida, licensed in Florida (CH8022) and active in the NPI registry since February 2006. He is a graduate of National College Of Chiropractic (1998).

NPPES Registry Identity

NPI1215901806
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameMISS CHAD P SHAWCredential: DC
Location Address8705 PERIMETER PARK BLVD, SUITE 6Jacksonville, FL 32216-6344
Mailing Address8705 Perimeter Park Blvd, Suite 6Jacksonville, FL 32216-6344 · (904) 725-2286 · Fax (904) 725-4566
Fax(904) 997-1369
Sole ProprietorNo
Medical School CMSNational College Of ChiropracticGraduated 1998
Enumeration DateFebruary 13, 2006
Last NPPES UpdateOctober 3, 2007
✔ NPI 1215901806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH8022
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.
8705 PERIMETER PARK BLVD, Jacksonville, FL 32216

Other Identifiers 3

OtherCH8022FL · Chiropractic License
Medicare ID-Type UnspecifiedE6887ZFL
Medicare UPINU88716FL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Chad P Shaw Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850473703
PECOS Enrollment IDI20080130000661

Medicare Billing Reassignment

Medicare enrollment records show Chad Shaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chiropractor
8705 PERIMETER PARK BLVD STE 6
Jacksonville, FL 32216
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
152 services19 patients

Other Providers at the Same Location NPPES 4

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

Pharmacy
8705 PERIMETER PARK BLVD, SUITE 2
JACKSONVILLE, FL 32216
Chiropractor
8705 PERIMETER PARK BLVD, SUITE 6
JACKSONVILLE, FL 32216
Physician Assistant
8705 PERIMETER PARK BLVD
JACKSONVILLE, FL 32216
Family Medicine
8705 PERIMETER PARK BLVD, SUITE 2
JACKSONVILLE, FL 32216

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 Chad Shaw's NPI number?

The NPI number for Chad Shaw is 1215901806. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Where is Chad Shaw located?

Chad Shaw practices at 8705 Perimeter Park Blvd Suite 6, Jacksonville, FL 32216. The listed phone number is (904) 997-1349.

What is Chad Shaw's specialty?

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

Is Chad Shaw enrolled in Medicare?

Yes. Chad Shaw is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Chad Shaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chad Shaw reassigns Medicare benefits to Shaw Chiropractic LLC (Jacksonville, FL). The 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 Chad Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Chad Shaw accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Providence Health Plan and 1 other insurer list Chad Shaw 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 Chad Shaw was last updated on October 3, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.