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RUSSELL SHANNON HUMPHRIES DC
NPI 1497769210
Chiropractor in Port Orange, FL

Active since July 28, 2006Accepts Medicare Assignment
4343 RIDGEWOOD AVENUE, SUITE B, PORT ORANGE, FL 32127(386) 767-2727(386) 767-6674 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Russell Shannon Humphries Dc NPPES

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

RUSSELL SHANNON HUMPHRIES DC (NPI 1497769210) is an individual chiropractor in Port Orange, Florida, licensed in Florida (CH3773) and active in the NPI registry since July 2006. He is a graduate of Life Chiropractic College (1981).

NPPES Registry Identity

NPI1497769210
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameRUSSELL SHANNON HUMPHRIESCredential: DC
Location Address4343 RIDGEWOOD AVENUE, SUITE BPort Orange, FL 32127
Mailing Address4343 Ridgewood Avenue, Suite BPort Orange, FL 32127 · (386) 767-2727 · Fax (386) 767-6674
Phone(386) 767-2727
Fax(386) 767-6674
Sole ProprietorNo
Medical School CMSLife Chiropractic CollegeGraduated 1981
Enumeration DateJuly 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1497769210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH3773
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.
4343 RIDGEWOOD AVENUE, Port Orange, FL 32127
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Other Identifiers 2

Medicare UPINU30606
Medicare ID-Type Unspecified88750FL

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, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Russell Shannon Humphries 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 ID1759558505
PECOS Enrollment IDI20120118000673

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.
1,202 services74 patients

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 Russell Humphries's NPI number?

The NPI number for Russell Humphries is 1497769210. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Russell Humphries located?

Russell Humphries practices at 4343 Ridgewood Avenue Suite B, Port Orange, FL 32127. The listed phone number is (386) 767-2727.

What is Russell Humphries's specialty?

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

Is Russell Humphries enrolled in Medicare?

Yes. Russell Humphries 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.

What insurance does Russell Humphries accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Russell Humphries 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 Russell Humphries was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.