FERNANDINA CHIROPRACTIC CENTER
NPI 1770018467
Chiropractor in Yulee, FL

Active since May 01, 2017
464073 EAST STATE ROAD 200, YULEE, FL 32034(716) 704-9002 Get Directions Write a Review

NPPES record last updated: December 18, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Fernandina Chiropractic Center NPPES

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

FERNANDINA CHIROPRACTIC CENTER (NPI 1770018467) is a healthcare organization registered as a chiropractor in Yulee, Florida and active in the NPI registry since May 2017. The organization lists Thomas Patrick Beckerton, Manager/sole Member, as its authorized official.

NPPES Registry Identity

NPI1770018467
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBECKERTON CHIROPRACTIC PLLC
Location Address464073 EAST STATE ROAD 200Yulee, FL 32034
Mailing Address463392 East State Road 200Yulee, FL 32097 · (716) 704-9002 · Fax (904) 513-9206
Organization SubpartNo
Authorized OfficialThomas Patrick BeckertonManager/sole Member · (716) 704-9002
Enumeration DateMay 1, 2017
Last NPPES UpdateDecember 18, 2021
NPPES CertifiedDecember 18, 2021
✔ NPI 1770018467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH11597
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.
464073 EAST STATE ROAD 200, Yulee, FL 32034

Other Names 1

Doing Business AsFernandina Chiropractic Center

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)

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

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Fernandina Chiropractic Center, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Chiropractic
NPI 1669856076
463392 EAST STATE ROAD 200
Yulee, FL 32097
(904) 491-1345
3.3 mi
Chiropractic
NPI 1356294912
463392 STATE ROAD 200
Yulee, FL 32097
(904) 491-1345
3.4 mi
Chiropractic
NPI 1457197675
1505 DENNIS ST STE 106
Jacksonville, FL 32204
(904) 617-1532
22 mi
Chiropractic
NPI 1942422126
1092 S PONCE DE LEON BLVD STE K
St Augustine, FL 32084
(904) 460-2923
53 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 Beckerton Chiropractic PLLC's NPI number?

The NPI number for Beckerton Chiropractic PLLC is 1770018467. It was assigned to this organization in the NPPES registry on May 1, 2017. The provider is doing business as Fernandina Chiropractic Center.

Where is Beckerton Chiropractic PLLC located?

Beckerton Chiropractic PLLC is located at 464073 East State Road 200, Yulee, FL 32034. The listed phone number is (716) 704-9002.

What is Beckerton Chiropractic PLLC's specialty?

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

Is Beckerton Chiropractic PLLC enrolled in Medicare?

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

How many clinicians bill Medicare through Beckerton Chiropractic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Chiropractic, reassign their Medicare billing to Beckerton 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Beckerton Chiropractic PLLC accept?

Health plans from Wellpoint list Beckerton Chiropractic PLLC 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 Beckerton Chiropractic PLLC was last updated on December 18, 2021. 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.