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DERIC L JACOBS DC
NPI 1568679876
Chiropractor in Port Orange, FL

Active since May 17, 2007
4536 S. CLYDE MORRIS BLVD., SUITE 3, PORT ORANGE, FL 32129(386) 562-4099 Get Directions Write a Review

NPPES record last updated: January 14, 2010. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Deric L Jacobs Dc NPPES

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

DERIC L JACOBS DC (NPI 1568679876) is an individual chiropractor in Port Orange, Florida, licensed in Florida (CH8698) and active in the NPI registry since May 2007. He is a graduate of Palmer College Chiropractic - Davenport (1997).

NPPES Registry Identity

NPI1568679876
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDERIC L JACOBSCredential: DC
Location Address4536 S. CLYDE MORRIS BLVD., SUITE 3Port Orange, FL 32129-4017
Mailing Address3625 Scott StPort Orange, FL 32129-4225 · (386) 562-4099
Phone(386) 562-4099
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - DavenportGraduated 1997
Enumeration DateMay 17, 2007
Last NPPES UpdateJanuary 14, 2010
✔ NPI 1568679876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH8698
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.
4536 S. CLYDE MORRIS BLVD., Port Orange, FL 32129
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Other Identifiers 1

Medicare UPINU80054

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), Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deric L Jacobs Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830120559
PECOS Enrollment IDI20050823000417

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, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
179 services18 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 Deric Jacobs's NPI number?

The NPI number for Deric Jacobs is 1568679876. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Deric Jacobs located?

Deric Jacobs practices at 4536 S. Clyde Morris Blvd. Suite 3, Port Orange, FL 32129. The listed phone number is (386) 562-4099.

What is Deric Jacobs's specialty?

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

Is Deric Jacobs enrolled in Medicare?

Yes. Deric Jacobs is registered in the Medicare PECOS enrollment system.

What insurance does Deric Jacobs accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Providence Health Plan and Wellpoint list Deric Jacobs 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 Deric Jacobs was last updated on January 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.