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DR. KYLE SEBASTIAN JACKSON DC
NPI 1669085718
Chiropractor in Jacksonville, FL

Active since August 28, 2020Accepts Medicare Assignment
12620 BEACH BLVD STE 6, JACKSONVILLE, FL 32246(904) 645-0777(904) 645-3483 Get Directions Write a Review

NPPES record last updated: August 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kyle Sebastian Jackson Dc NPPES

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

DR. KYLE SEBASTIAN JACKSON DC (NPI 1669085718) is an individual chiropractor in Jacksonville, Florida, licensed in Florida (CH13208) and active in the NPI registry since August 2020. He is a graduate of Other (2012).

NPPES Registry Identity

NPI1669085718
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. KYLE SEBASTIAN JACKSONCredential: DC
Location Address12620 BEACH BLVD STE 6Jacksonville, FL 32246-7130
Mailing Address12620 Beach Blvd Ste 6Jacksonville, FL 32246-7130 · (904) 645-0777 · Fax (904) 645-3483
Phone(904) 645-0777
Fax(904) 645-3483
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 28, 2020
NPPES CertifiedAugust 27, 2020
✔ NPI 1669085718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH13208
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.
12620 BEACH BLVD STE 6, Jacksonville, FL 32246
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Other Identifiers 1

OtherCH13208FL · State License

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

Dr. Kyle Sebastian Jackson 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 ID5294154738
PECOS Enrollment IDI20201001002214

Areas of Expertise CMS Part B claims 3

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.
233 services96 patients
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.
27 services22 patients
Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
12 services12 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOLLY MICHELLE WHITE APRN, FNP-C
Nurse Practitioner (Family)
12620 BEACH BLVD STE 6
JACKSONVILLE, FL 32246
Duval County (904) 635-0777
MARK PIERCE CHIROPRACTIC CLINIC
Chiropractor
12620 BEACH BLVD STE 6
JACKSONVILLE, FL 32246
Duval County (904) 645-0777

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 Kyle Jackson's NPI number?

The NPI number for Kyle Jackson is 1669085718. It was assigned to this individual provider in the NPPES registry on August 28, 2020.

Where is Kyle Jackson located?

Kyle Jackson practices at 12620 Beach Blvd Ste 6, Jacksonville, FL 32246. The listed phone number is (904) 645-0777.

What is Kyle Jackson's specialty?

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

Is Kyle Jackson enrolled in Medicare?

Yes. Kyle Jackson 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 Kyle Jackson accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Kyle Jackson 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 Kyle Jackson was last updated on August 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.