SOUTH MANDARIN CHIROPRACTIC AND WELLNESS, INC.
NPI 1487892030
Chiropractor in Jacksonville, FL

Q: What is South Mandarin Chiropractic And Wellness, Inc.'s specialty?

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

Active since February 04, 2009

11808 SAN JOSE BLVD, STE. 2, JACKSONVILLE, FL 32223(904) 880-3271(904) 880-3273 Get Directions Write a Review

NPPES record last updated: April 8, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About South Mandarin Chiropractic And Wellness, Inc. NPPES

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

SOUTH MANDARIN CHIROPRACTIC AND WELLNESS, INC. (NPI 1487892030) is a healthcare organization registered as a chiropractor in Jacksonville, Florida and active in the NPI registry since February 2009. The organization lists Jacob Justin Hutzell, Owner/chiropractor, as its authorized official.

NPPES Registry Identity

NPI1487892030

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameSOUTH MANDARIN CHIROPRACTIC AND WELLNESS, INC.

Location Address11808 SAN JOSE BLVD, STE. 2Jacksonville, FL 32223-0754

Mailing Address11808 San Jose Blvd, Ste. 2Jacksonville, FL 32223-0754 · (904) 880-3271 · Fax (904) 880-3273

Phone(904) 880-3271

Fax(904) 880-3273

Organization SubpartNo

Authorized OfficialJacob Justin HutzellOwner/chiropractor · (904) 880-3271

Enumeration DateFebruary 4, 2009

Last NPPES UpdateApril 8, 2015

✔ NPI 1487892030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in FL · CH9481

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.

11808 SAN JOSE BLVD, Jacksonville, FL 32223

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Other Identifiers 1

Medicare NSC6398750002FL

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

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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)

South Mandarin Chiropractic And Wellness, Inc. 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 South Mandarin Chiropractic And Wellness, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Jacob Hutzell, D.C.

Chiropractic

NPI 1972752822

11808 SAN JOSE BLVD STE # 2
Jacksonville, FL 32223

(904) 880-3271

✔ Accepts MedicareSame address

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 South Mandarin Chiropractic And Wellness, Inc.'s NPI number?

The NPI number for South Mandarin Chiropractic And Wellness, Inc. is 1487892030. It was assigned to this organization in the NPPES registry on February 4, 2009.

Where is South Mandarin Chiropractic And Wellness, Inc. located?

South Mandarin Chiropractic And Wellness, Inc. is located at 11808 San Jose Blvd Ste. 2, Jacksonville, FL 32223. The listed phone number is (904) 880-3271.

What is South Mandarin Chiropractic And Wellness, Inc.'s specialty?

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

Is South Mandarin Chiropractic And Wellness, Inc. enrolled in Medicare?

Yes. South Mandarin Chiropractic And Wellness, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Mandarin Chiropractic And Wellness, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to South Mandarin Chiropractic And Wellness, Inc.. 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.

What insurance does South Mandarin Chiropractic And Wellness, Inc. accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list South Mandarin Chiropractic And Wellness, Inc. 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 South Mandarin Chiropractic And Wellness, Inc. was last updated on April 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.