SHINE CHIROPRACTIC PLLC
NPI 1720852437
Chiropractor in Freeport, FL

Active since November 13, 2023
1255 OLD JOLLY BAY RD UNIT B101, FREEPORT, FL 32439(850) 880-6046 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shine Chiropractic Pllc NPPES

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

SHINE CHIROPRACTIC PLLC (NPI 1720852437) is a healthcare organization registered as a chiropractor in Freeport, Florida and active in the NPI registry since November 2023. The organization lists Braxton Turnage, Owner, as its authorized official.

NPPES Registry Identity

NPI1720852437
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSHINE CHIROPRACTIC PLLC
Location Address1255 OLD JOLLY BAY RD UNIT B101Freeport, FL 32439-4275
Mailing Address1255 Old Jolly Bay Rd Unit B101Freeport, FL 32439-4275 · (850) 880-6046
Organization SubpartNo
Authorized OfficialBraxton TurnageOwner · (850) 880-6046
Enumeration DateNovember 13, 2023
NPPES CertifiedNovember 13, 2023
✔ NPI 1720852437 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.
1255 OLD JOLLY BAY RD UNIT B101, Freeport, FL 32439

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shine Chiropractic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Shine Chiropractic PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Chiropractic
NPI 1184325912
1255 OLD JOLLY BAY RD UNIT B101
Freeport, FL 32439
(508) 880-6046
✔ Accepts MedicareSame address
Chiropractic
NPI 1740090299
1255 OLD JOLLY BAY RD UNIT B101
Freeport, FL 32439
(850) 880-6046
✔ Accepts MedicareSame address

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 Shine Chiropractic PLLC's NPI number?

The NPI number for Shine Chiropractic PLLC is 1720852437. It was assigned to this organization in the NPPES registry on November 13, 2023.

Where is Shine Chiropractic PLLC located?

Shine Chiropractic PLLC is located at 1255 Old Jolly Bay Rd Unit B101, Freeport, FL 32439. The listed phone number is (850) 880-6046.

What is Shine Chiropractic PLLC's specialty?

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

Is Shine Chiropractic PLLC enrolled in Medicare?

Yes. Shine Chiropractic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shine Chiropractic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Shine Chiropractic 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shine Chiropractic PLLC was last updated on November 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.