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NORTHEASTERN SPINE AND SPORT CHIROPRACTIC PLLC
NPI 1780445684
Chiropractor in Elizabeth City, NC

Active since January 17, 2024
216 N MCMORRINE ST, ELIZABETH CITY, NC 27909(252) 580-1231 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Northeastern Spine And Sport Chiropractic Pllc NPPES

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

NORTHEASTERN SPINE AND SPORT CHIROPRACTIC PLLC (NPI 1780445684) is a healthcare organization registered as a chiropractor in Elizabeth City, North Carolina and active in the NPI registry since January 2024. The organization lists Jonathan Owen, Owner/chiropractor, as its authorized official.

NPPES Registry Identity

NPI1780445684
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameNORTHEASTERN SPINE AND SPORT CHIROPRACTIC PLLC
Location Address216 N MCMORRINE STElizabeth City, NC 27909-4410
Mailing Address3519 Union StElizabeth City, NC 27909-7000 · (443) 684-0834
Phone(252) 580-1231
Organization SubpartNo
Authorized OfficialJonathan OwenOwner/chiropractor · (443) 684-0834
Enumeration DateJanuary 17, 2024
NPPES CertifiedJanuary 17, 2024
✔ NPI 1780445684 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.
216 N MCMORRINE ST, Elizabeth City, NC 27909
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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)

Northeastern Spine And Sport Chiropractic Pllc 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 Northeastern Spine And Sport Chiropractic PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jonathan Owen, DC
Chiropractic
NPI 1649905936
1745 CITY CENTER BLVD STE B
Elizabeth City, NC 27909
(443) 684-0834
✔ Accepts Medicare2.0 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 Northeastern Spine And Sport Chiropractic PLLC's NPI number?

The NPI number for Northeastern Spine And Sport Chiropractic PLLC is 1780445684. It was assigned to this organization in the NPPES registry on January 17, 2024.

Where is Northeastern Spine And Sport Chiropractic PLLC located?

Northeastern Spine And Sport Chiropractic PLLC is located at 216 N Mcmorrine St, Elizabeth City, NC 27909. The listed phone number is (252) 580-1231.

What is Northeastern Spine And Sport Chiropractic PLLC's specialty?

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

Is Northeastern Spine And Sport Chiropractic PLLC enrolled in Medicare?

Yes. Northeastern Spine And Sport Chiropractic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northeastern Spine And Sport Chiropractic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Northeastern Spine And Sport 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Northeastern Spine And Sport Chiropractic PLLC was last updated on January 17, 2024. 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.