EDGEWATER CHIROPRACTIC CLINIC, P.A.
NPI 1821421363
Chiropractor in Edgewater, FL
About Edgewater Chiropractic Clinic, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDGEWATER CHIROPRACTIC CLINIC, P.A. (NPI 1821421363) is a healthcare organization registered as a chiropractor in Edgewater, Florida and active in the NPI registry since August 2013. The organization holds a CLIA Waiver certificate valid through April 29, 2027, maintains a secondary practice location in Port Orange, and lists Carly Kristeen Meckle, Chiropractor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Edgewater Chiropractic Clinic, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Edgewater Chiropractic Clinic, P.A., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2165499
Edgewater Chiropractic Clinic PA · Edgewater, FLFrequently 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 Edgewater Chiropractic Clinic, P.A.'s NPI number?
The NPI number for Edgewater Chiropractic Clinic, P.A. is 1821421363. It was assigned to this organization in the NPPES registry on August 20, 2013.
Where is Edgewater Chiropractic Clinic, P.A. located?
Edgewater Chiropractic Clinic, P.A. is located at 201 S Ridgewood Ave Ste 11, Edgewater, FL 32132. The listed phone number is (386) 423-7575.
What is Edgewater Chiropractic Clinic, P.A.'s specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Edgewater Chiropractic Clinic, P.A. enrolled in Medicare?
Yes. Edgewater Chiropractic Clinic, P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Edgewater Chiropractic Clinic, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Chiropractic, reassign their Medicare billing to Edgewater Chiropractic Clinic, P.A.. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Edgewater Chiropractic Clinic, P.A. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2165499) is associated with this NPI, valid through April 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Edgewater Chiropractic Clinic, P.A. was last updated on April 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Edgewater Chiropractic Clinic, P.a. · NPI 1821421363
Chiropractor organization in Edgewater, Florida. Organization record, active in the CMS NPPES registry since August 20, 2013.
## Identity
- **NPI:** 1821421363 (Entity type: Organization)
- **Enumerated:** August 20, 2013
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Carly Meckle, CHIROPRACTOR
## Practice location
- **Address:** 201 S RIDGEWOOD AVE STE 11, Edgewater, FL 32132-1935
- **Phone:** (386) 423-7575
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Chiropractic) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 2, 2018
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1821421363) · Data from the CMS NPPES public registry.