FORT WALTON BEACH CHIROPRACTIC
NPI 1437409885
Chiropractor in Fort Walton Beach, FL

Active since September 13, 2012CLIA 10D2304262 · Waiver
315 RACETRACK RD NE, FORT WALTON BEACH, FL 32547(850) 200-4911 Get Directions Write a Review

NPPES record last updated: June 19, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 19, 2019, Aug 6, 2018 (2 updates tracked since 2018).

About Fort Walton Beach Chiropractic NPPES

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

FORT WALTON BEACH CHIROPRACTIC (NPI 1437409885) is a healthcare organization registered as a chiropractor in Fort Walton Beach, Florida and active in the NPI registry since September 2012. The organization holds a CLIA Waiver certificate valid through May 8, 2028 and lists Scott Smith, Manager, as its authorized official.

NPPES Registry Identity

NPI1437409885
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameFORT WALTON BEACH CHIROPRACTIC LLC
Location Address315 RACETRACK RD NEFort Walton Beach, FL 32547-2548
Mailing Address315 Racetrack Rd NeFort Walton Beach, FL 32547-2548 · (850) 200-4911
Organization SubpartNo
Authorized OfficialScott SmithManager · (850) 200-4911
Enumeration DateSeptember 13, 2012
Last NPPES UpdateJune 19, 20192 updates tracked since enumeration
✔ NPI 1437409885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH8625
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.
315 RACETRACK RD NE, Fort Walton Beach, FL 32547

Other Names 1

Doing Business AsFort Walton Beach Chiropractic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fort Walton Beach 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 Fort Walton Beach Chiropractic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1326115825
315 RACETRACK ROAD NORTHEAST
Fort Walton Beach, FL 32547
(850) 200-4911
✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2304262

Fort Walton Beach Chiropratic · Fort Walton Beach, FL
Active · expires May 8, 2028
CLIA Number10D2304262
Laboratory TypePhysician Office
Certificate Effective DateMay 9, 2026
Certificate Expiration DateMay 8, 2028
Laboratory DirectorScott Smith
Laboratory Phone(850) 200-4911
Laboratory LocationFort Walton Beach Chiropratic315 Racetrack Rd NE, Fort Walton Beach, FL 32547
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Fort Walton Beach Chiropractic LLC's NPI number?

The NPI number for Fort Walton Beach Chiropractic LLC is 1437409885. It was assigned to this organization in the NPPES registry on September 13, 2012. The provider is doing business as Fort Walton Beach Chiropractic.

Where is Fort Walton Beach Chiropractic LLC located?

Fort Walton Beach Chiropractic LLC is located at 315 Racetrack Rd NE, Fort Walton Beach, FL 32547. The listed phone number is (850) 200-4911.

What is Fort Walton Beach Chiropractic LLC's specialty?

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

Is Fort Walton Beach Chiropractic LLC enrolled in Medicare?

Yes. Fort Walton Beach Chiropractic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fort Walton Beach Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Fort Walton Beach Chiropractic LLC. 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.

Does Fort Walton Beach Chiropractic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2304262) is associated with this NPI, valid through May 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fort Walton Beach Chiropractic LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Fort Walton Beach Chiropractic LLC 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 Fort Walton Beach Chiropractic LLC was last updated on June 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.