DEERWOOD LAKE CHIROPRACTIC
NPI 1295918548
Chiropractor in Jacksonville, FL
About Deerwood Lake Chiropractic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEERWOOD LAKE CHIROPRACTIC (NPI 1295918548) is a healthcare organization registered as a chiropractor in Jacksonville, Florida and active in the NPI registry since December 2007. The organization lists Jennifer Miller, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Deerwood Lake Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Deerwood Lake Chiropractic, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Deerwood Lake Chiropractic's NPI number?
The NPI number for Deerwood Lake Chiropractic is 1295918548. It was assigned to this organization in the NPPES registry on December 10, 2007.
Where is Deerwood Lake Chiropractic located?
Deerwood Lake Chiropractic is located at 4540 Southside Blvd Ste 603, Jacksonville, FL 32216. The listed phone number is (904) 996-8660.
What is Deerwood Lake Chiropractic's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Deerwood Lake Chiropractic enrolled in Medicare?
Yes. Deerwood Lake Chiropractic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Deerwood Lake Chiropractic?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Deerwood Lake Chiropractic. 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.
When was this NPI record last updated?
The NPPES record for Deerwood Lake Chiropractic was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Deerwood Lake Chiropractic · NPI 1295918548
Chiropractor organization in Jacksonville, Florida. Organization record, active in the CMS NPPES registry since December 10, 2007.
## Identity
- **NPI:** 1295918548 (Entity type: Organization)
- **Enumerated:** December 10, 2007
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Jennifer Miller, OFFICE MANAGER
## Practice location
- **Address:** 4540 SOUTHSIDE BLVD STE 603, Jacksonville, FL 32216-5488
- **Phone:** (904) 996-8660 · **Fax:** (904) 996-8650
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1295918548) · Data from the CMS NPPES public registry.