CHIRO & LASER ST. AUGUSTINE, PLLC
NPI 1578204459
Clinic/Center - Health Service in St Augustine, FL
About Chiro & Laser St. Augustine, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHIRO & LASER ST. AUGUSTINE, PLLC (NPI 1578204459), doing business as Chiro & Laser St. Augustine, is a healthcare organization registered as a health service in St Augustine, Florida and active in the NPI registry since April 2022. The organization lists Jason Palmer, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Chiro & Laser St. Augustine, Pllc 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 Chiro & Laser St. Augustine, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Chiro & Laser St. Augustine, PLLC's NPI number?
The NPI number for Chiro & Laser St. Augustine, PLLC is 1578204459. It was assigned to this organization in the NPPES registry on April 5, 2022. The provider was formerly known as Chiro & Laser St. Augustine.
Where is Chiro & Laser St. Augustine, PLLC located?
Chiro & Laser St. Augustine, PLLC is located at 1092 S Ponce De Leon Blvd Ste K, St Augustine, FL 32084. The listed phone number is (940) 460-2923.
What is Chiro & Laser St. Augustine, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
Is Chiro & Laser St. Augustine, PLLC enrolled in Medicare?
Yes. Chiro & Laser St. Augustine, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Chiro & Laser St. Augustine, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Chiro & Laser St. Augustine, PLLC. 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.
When was this NPI record last updated?
The NPPES record for Chiro & Laser St. Augustine, PLLC was last updated on June 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Chiro & Laser St. Augustine, Pllc · NPI 1578204459
Health Service organization in St Augustine, Florida. Organization record, active in the CMS NPPES registry since April 5, 2022.
## Identity
- **NPI:** 1578204459 (Entity type: Organization)
- **Enumerated:** April 5, 2022
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Organization subpart:** No
- **Authorized official:** Jason Palmer, OWNER
## Practice location
- **Address:** 1092 S PONCE DE LEON BLVD STE K, St Augustine, FL 32084-6018
- **Phone:** (940) 460-2923
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 1, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1578204459) · Data from the CMS NPPES public registry.