SUNSHINE SPINE CLINIC PLLC
NPI 1811860604
Chiropractor in Fernandina Beach, FL

Q: What is Sunshine Spine Clinic PLLC's NPI number?

The NPI number for Sunshine Spine Clinic PLLC is 1811860604. It was assigned to this organization in the NPPES registry on September 26, 2025.

Q: What is Sunshine Spine Clinic PLLC's specialty?

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

Active since September 26, 2025

961687 GATEWAY BLVD STE 101B, FERNANDINA BEACH, FL 32034(904) 624-1321(904) 624-1789 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Sunshine Spine Clinic Pllc NPPES

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

SUNSHINE SPINE CLINIC PLLC (NPI 1811860604) is a healthcare organization registered as a chiropractor in Fernandina Beach, Florida and active in the NPI registry since September 2025. The organization lists Noah Beaudry, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1811860604

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameSUNSHINE SPINE CLINIC PLLC

Location Address961687 GATEWAY BLVD STE 101BFernandina Beach, FL 32034-9158

Mailing Address961687 Gateway Blvd Ste 101bFernandina Beach, FL 32034-9158 · (904) 624-1321 · Fax (904) 624-1789

Phone(904) 624-1321

Fax(904) 624-1789

Organization SubpartNo

Authorized OfficialNoah BeaudryOwner/ceo · (904) 624-1321

Enumeration DateSeptember 26, 2025

NPPES CertifiedSeptember 26, 2025

✔ NPI 1811860604 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.

961687 GATEWAY BLVD STE 101B, Fernandina Beach, FL 32034

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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)

Sunshine Spine Clinic 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 Sunshine Spine Clinic PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Noah Beaudry, D.C.

Chiropractic

NPI 1952748873

961687 GATEWAY BLVD STE 101B
Fernandina Beach, FL 32034

(904) 624-1321

✔ 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 Sunshine Spine Clinic PLLC's NPI number?

The NPI number for Sunshine Spine Clinic PLLC is 1811860604. It was assigned to this organization in the NPPES registry on September 26, 2025.

Where is Sunshine Spine Clinic PLLC located?

Sunshine Spine Clinic PLLC is located at 961687 Gateway Blvd Ste 101B, Fernandina Beach, FL 32034. The listed phone number is (904) 624-1321.

What is Sunshine Spine Clinic PLLC's specialty?

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

Is Sunshine Spine Clinic PLLC enrolled in Medicare?

Yes. Sunshine Spine Clinic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sunshine Spine Clinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Sunshine Spine Clinic 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 Sunshine Spine Clinic PLLC was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.