JACKSONVILLE CHIROPRACTIC P. A.
NPI 1629258595
Chiropractor in Jacksonville, AR

Active since November 08, 2007
1727 T P WHITE DR, JACKSONVILLE, AR 72076(501) 985-7711(501) 985-8385 Get Directions Write a Review

NPPES record last updated: August 5, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jacksonville Chiropractic P. A. NPPES

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

JACKSONVILLE CHIROPRACTIC P. A. (NPI 1629258595) is a healthcare organization registered as a chiropractor in Jacksonville, Arkansas and active in the NPI registry since November 2007. The organization lists Blake W Bennett, Owner, as its authorized official.

NPPES Registry Identity

NPI1629258595
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameJACKSONVILLE CHIROPRACTIC P. A.
Location Address1727 T P WHITE DRJacksonville, AR 72076-2861
Mailing Address1727 T P White DrJacksonville, AR 72076-2861 · (501) 985-7711 · Fax (501) 985-8385
Fax(501) 985-8385
Organization SubpartNo
Authorized OfficialBlake W BennettOwner · (501) 985-7711
Enumeration DateNovember 8, 2007
Last NPPES UpdateAugust 5, 2008
✔ NPI 1629258595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
1727 T P WHITE DR, Jacksonville, AR 72076

Other Identifiers 3

OtherU63233AR · Upin
Other5T401AR · Medicare Group Member Ptan
Other5F994AR · Medicare Group Ptan

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacksonville Chiropractic P. A. 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 Jacksonville Chiropractic P. A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1548234115
1727 T P WHITE DR
Jacksonville, AR 72076
(501) 985-7711
✔ Accepts Medicare1.9 mi

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 Jacksonville Chiropractic P. A.'s NPI number?

The NPI number for Jacksonville Chiropractic P. A. is 1629258595. It was assigned to this organization in the NPPES registry on November 8, 2007.

Where is Jacksonville Chiropractic P. A. located?

Jacksonville Chiropractic P. A. is located at 1727 T P White Dr, Jacksonville, AR 72076. The listed phone number is (501) 985-7711.

What is Jacksonville Chiropractic P. A.'s specialty?

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

Is Jacksonville Chiropractic P. A. enrolled in Medicare?

Yes. Jacksonville Chiropractic P. A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jacksonville Chiropractic P. A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Jacksonville Chiropractic P. A.. 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 Jacksonville Chiropractic P. A. accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Jacksonville Chiropractic P. A. 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 Jacksonville Chiropractic P. A. was last updated on August 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.