LOGAN M EMHOLTZ DC
NPI 1477325066
Chiropractor in Jacksonville, FL

Active since October 26, 2023Accepts Medicare Assignment
8110 BLANDING BLVD, JACKSONVILLE, FL 32244(904) 379-4621 Get Directions Write a Review

NPPES record last updated: November 22, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 22, 2023, Oct 26, 2023 (2 updates tracked since 2023).

About Logan M Emholtz Dc NPPES

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

LOGAN M EMHOLTZ DC (NPI 1477325066) is an individual chiropractor in Jacksonville, Florida, licensed in Florida (14757) and active in the NPI registry since October 2023. He is a graduate of Life Chiropractic College (2023).

NPPES Registry Identity

NPI1477325066
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameLOGAN M EMHOLTZCredential: DC
Location Address8110 BLANDING BLVDJacksonville, FL 32244-5823
Mailing Address3139 Laurel Grv NJacksonville, FL 32223-7332 · (715) 338-0800
Sole ProprietorNo
Medical School CMSLife Chiropractic CollegeGraduated 2023
Enumeration DateOctober 26, 2023
Last NPPES UpdateNovember 22, 20232 updates tracked since enumeration
NPPES CertifiedNovember 22, 2023
✔ NPI 1477325066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · 14757
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.
8110 BLANDING BLVD, Jacksonville, FL 32244

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

Logan M Emholtz 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.

PECOS PAC ID6608318159
PECOS Enrollment IDI20240612000499

Medicare Billing Reassignment

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

Chiropractor
4371 US HIGHWAY 17 STE 104
Fleming Island, FL 32003
  • 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.

Other Providers at the Same Location NPPES 4

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

Chiropractor
8110 BLANDING BLVD
JACKSONVILLE, FL 32244
Chiropractor
8110 BLANDING BLVD
JACKSONVILLE, FL 32244
Nurse Practitioner
8110 BLANDING BLVD
JACKSONVILLE, FL 32244
Chiropractor
8110 BLANDING BLVD
JACKSONVILLE, FL 32244

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 Logan Emholtz's NPI number?

The NPI number for Logan Emholtz is 1477325066. It was assigned to this individual provider in the NPPES registry on October 26, 2023.

Where is Logan Emholtz located?

Logan Emholtz practices at 8110 Blanding Blvd, Jacksonville, FL 32244. The listed phone number is (904) 379-4621.

What is Logan Emholtz's specialty?

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

Is Logan Emholtz enrolled in Medicare?

Yes. Logan Emholtz 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 Logan Emholtz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Logan Emholtz reassigns Medicare benefits to Thrive Health Center Fleming LLC (Fleming Island, 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 Logan Emholtz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Logan Emholtz was last updated on November 22, 2023. 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.