PALM COAST CHIROPRACTIC CENTER, JTA INC
NPI 1679673396
Chiropractor in Bunnell, FL

Active since September 23, 2006
4721 E MOODY BLVD, SUITE 101, BUNNELL, FL 32110(386) 437-7111(386) 437-7790 Get Directions Write a Review

NPPES record last updated: June 6, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Palm Coast Chiropractic Center, Jta Inc NPPES

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

PALM COAST CHIROPRACTIC CENTER, JTA INC (NPI 1679673396) is a healthcare organization registered as a chiropractor in Bunnell, Florida and active in the NPI registry since September 2006. The organization lists Jennifer L Thornton, President, as its authorized official.

NPPES Registry Identity

NPI1679673396
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePALM COAST CHIROPRACTIC CENTER, JTA INC
Location Address4721 E MOODY BLVD, SUITE 101Bunnell, FL 32110-7706
Mailing Address4721 E Moody Blvd, Suite 101Bunnell, FL 32110-7706 · (386) 437-7111 · Fax (386) 437-7790
Fax(386) 437-7790
Organization SubpartNo
Authorized OfficialJennifer L ThorntonPresident · (386) 437-7111
Enumeration DateSeptember 23, 2006
Last NPPES UpdateJune 6, 2014
✔ NPI 1679673396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH8483
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.
4721 E MOODY BLVD, Bunnell, FL 32110

Other Identifiers 1

Medicare UPINV08423FL

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)

Palm Coast Chiropractic Center, Jta Inc 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 Palm Coast Chiropractic Center, Jta Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1750463154
4721 EAST MOODY BLVD SUITE101
Bunnell, FL 32110
(386) 437-7111
✔ Accepts Medicare0.1 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 Palm Coast Chiropractic Center, Jta Inc's NPI number?

The NPI number for Palm Coast Chiropractic Center, Jta Inc is 1679673396. It was assigned to this organization in the NPPES registry on September 23, 2006.

Where is Palm Coast Chiropractic Center, Jta Inc located?

Palm Coast Chiropractic Center, Jta Inc is located at 4721 E Moody Blvd Suite 101, Bunnell, FL 32110. The listed phone number is (386) 437-7111.

What is Palm Coast Chiropractic Center, Jta Inc's specialty?

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

Is Palm Coast Chiropractic Center, Jta Inc enrolled in Medicare?

Yes. Palm Coast Chiropractic Center, Jta Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Palm Coast Chiropractic Center, Jta Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Palm Coast Chiropractic Center, Jta Inc. 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 Palm Coast Chiropractic Center, Jta Inc accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Palm Coast Chiropractic Center, Jta Inc 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 Palm Coast Chiropractic Center, Jta Inc was last updated on June 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.