DR. JACK LEE MCGREW DC
NPI 1346069382
Chiropractor in Saint Johns, FL
About Dr. Jack Lee Mcgrew Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACK LEE MCGREW DC (NPI 1346069382) is an individual chiropractor in Saint Johns, Florida, licensed in Florida (15219) and active in the NPI registry since October 2024. He is a graduate of Palmer College Chiropractic - Davenport (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted 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. Jack Lee Mcgrew Dc 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.
Medicare Billing Reassignment
Medicare enrollment records show Jack Mcgrew reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ponte Vedra Beach, FL 32082
- Reassigned Medicare billing, Florida enrollment
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 Jack Mcgrew's NPI number?
The NPI number for Jack Mcgrew is 1346069382. It was assigned to this individual provider in the NPPES registry on October 7, 2024.
Where is Jack Mcgrew located?
Jack Mcgrew practices at 148 Nottingham Dr E, Saint Johns, FL 32259. The listed phone number is (304) 741-9669.
What is Jack Mcgrew's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Jack Mcgrew enrolled in Medicare?
Yes. Jack Mcgrew 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 Jack Mcgrew's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jack Mcgrew reassigns Medicare benefits to Mcgrew Clinic LLC (Ponte Vedra Beach, 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 Jack Mcgrew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jack Mcgrew 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 list Jack Mcgrew 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 Jack Mcgrew was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Jack Lee Mcgrew, DC · NPI 1346069382
Chiropractor provider in Saint Johns, Florida. Individual provider, active in the CMS NPPES registry since October 7, 2024.
## Identity
- **NPI:** 1346069382 (Entity type: Individual)
- **Enumerated:** October 7, 2024
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 15219 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 148 NOTTINGHAM DR E, Saint Johns, FL 32259-7904
- **Phone:** (304) 741-9669
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Mcgrew Clinic LLC (NPI 1407670110, Ponte Vedra Beach, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Palmer College Chiropractic - Davenport, class of 2024
## Record status
- **NPPES last updated:** October 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1346069382) · Data from the CMS NPPES public registry.