DR. CHANNING C BOLICK DC, MS
NPI 1316936206
Chiropractor in Maitland, FL

Q: What is Channing Bolick's NPI number?

The NPI number for Channing Bolick is 1316936206. It was assigned to this individual provider in the NPPES registry on October 14, 2005.

Q: What is Channing Bolick's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Channing Bolick was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since October 14, 2005Accepts Medicare Assignment

500 E HORATIO AVE STE 5, MAITLAND, FL 32751(407) 629-5333(407) 629-5343 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Channing C Bolick Dc, Ms NPPES

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

DR. CHANNING C BOLICK DC, MS (NPI 1316936206) is an individual chiropractor in Maitland, Florida, licensed in Florida (CH7882) and active in the NPI registry since October 2005. He is a graduate of Palmer College Chiropractic - Davenport (1998).

NPPES Registry Identity

NPI1316936206

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. CHANNING C BOLICKCredential: DC, MS

Location Address500 E HORATIO AVE STE 5Maitland, FL 32751-7310

Mailing Address500 E Horatio Ave Ste 5Maitland, FL 32751-7310 · (407) 629-5333 · Fax (407) 629-5343

Phone(407) 629-5333

Fax(407) 629-5343

Sole ProprietorNo

Medical School CMSPalmer College Chiropractic - DavenportGraduated 1998

Enumeration DateOctober 14, 2005

Last NPPES UpdateSeptember 23, 2025

NPPES CertifiedSeptember 23, 2025

✔ NPI 1316936206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

Licenses✔ Licensed in FL · CH7882✔ Licensed in SC · 2398✔ Licensed in GA · 6191

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.

Also ListedChiropractor · Independent Medical ExaminerTaxonomy 111NI0013X · License CH7882 (FL)

Also ListedChiropractor · Occupational HealthTaxonomy 111NX0100X · License CH7882 (FL)

500 E HORATIO AVE STE 5, Maitland, FL 32751

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Other Identifiers 13

OtherCH7882FL · State License Number

Medicaid2800039-00FL

Other350050297FL · Railroad Medicare

Other4573235FL · Ghi Provider Number

Other1455405FL · Cigna Provider Number

Other53988FL · Ashlink Pin

Other55996FL · Blue Cross Number

Other945833FL · Ppni Provider Number

OtherK1903FL · Medicare Group Number

OtherP10000175970FL · Sunshine State

Other10728811Caqh Number

Other332352FL · Avmed Provider Number

Other544703Wellcare/staywell Medicare & Medicaid

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Channing C Bolick Dc, Ms 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 ID3375526213

PECOS Enrollment IDI20101021000429

Medicare Billing Reassignment

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

Bolick Clinic, Inc.

Same address

Multi-Specialty

500 E HORATIO AVE STE 5
Maitland, FL 32751

Reassigned Medicare billing, Florida enrollment

NPI 1073680088 (407) 629-5333

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, 5 spinal regions 98942

Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's alignment. In a 5 spinal region treatment, the chiropractor applies controlled force to specific areas in your neck, mid-back, lower back, and both sides of your pelvis.

339 services11 patients

Other Providers at the Same Location NPPES

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

BOLICK CLINIC, INC.

Clinic/Center (Multi-Specialty)

500 E HORATIO AVE STE 5
MAITLAND, FL 32751

Orange County (407) 629-5333

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 Channing Bolick's NPI number?

The NPI number for Channing Bolick is 1316936206. It was assigned to this individual provider in the NPPES registry on October 14, 2005.

Where is Channing Bolick located?

Channing Bolick practices at 500 E Horatio Ave Ste 5, Maitland, FL 32751. The listed phone number is (407) 629-5333.

What is Channing Bolick's specialty?

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

Is Channing Bolick enrolled in Medicare?

Yes. Channing Bolick 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.

Which organization bills Medicare for Channing Bolick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Channing Bolick reassigns Medicare benefits to Bolick Clinic, Inc. (Maitland, 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 Channing Bolick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Channing Bolick 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 Channing Bolick 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 Channing Bolick was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.