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JACKSONVILLE SPORT & SPINE
NPI 1255622049
Chiropractor in Orange Park, FL

Active since April 27, 2011
2233 PARK AVE, 200-B, ORANGE PARK, FL 32073(904) 375-2308(904) 375-1954 Get Directions Write a Review

NPPES record last updated: May 24, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacksonville Sport & Spine NPPES

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

JACKSONVILLE SPORT & SPINE (NPI 1255622049) is a healthcare organization registered as a chiropractor in Orange Park, Florida and active in the NPI registry since April 2011. The organization lists Michael Nathan Mcdaniels, Doctor/owner, as its authorized official.

NPPES Registry Identity

NPI1255622049
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSPINE & DISC CENTER
Location Address2233 PARK AVE, 200-BOrange Park, FL 32073-5570
Mailing Address2233 Park Ave, 200-bOrange Park, FL 32073-5570 · (904) 375-2308 · Fax (904) 375-1954
Phone(904) 375-2308
Fax(904) 375-1954
Organization SubpartNo
Authorized OfficialMichael Nathan McdanielsDoctor/owner · (904) 375-2308
Enumeration DateApril 27, 2011
Last NPPES UpdateMay 24, 2017
✔ NPI 1255622049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH9367
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.
2233 PARK AVE, Orange Park, FL 32073
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Other Names 1

Doing Business AsJacksonville Sport & Spine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacksonville Sport & Spine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20110518000773Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jacksonville Sport & Spine, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Mcdaniels, D.C.
Chiropractic
NPI 1790965580
2233 PARK AVE 200-B
Orange Park, FL 32073
(904) 375-2308
✔ 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 Spine & Disc Center's NPI number?

The NPI number for Spine & Disc Center is 1255622049. It was assigned to this organization in the NPPES registry on April 27, 2011. The provider is doing business as Jacksonville Sport & Spine.

Where is Spine & Disc Center located?

Spine & Disc Center is located at 2233 Park Ave 200-B, Orange Park, FL 32073. The listed phone number is (904) 375-2308.

What is Spine & Disc Center's specialty?

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

Is Spine & Disc Center enrolled in Medicare?

Yes. Spine & Disc Center is registered in the Medicare PECOS enrollment system.

When is Spine & Disc Center's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Spine & Disc Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Spine & Disc Center. 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 Spine & Disc Center accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Spine & Disc Center 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 Spine & Disc Center was last updated on May 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.