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EDGEWATER CHIROPRACTIC CLINIC, P.A.
NPI 1821421363
Chiropractor in Edgewater, FL

Active since August 20, 2013CLIA 10D2165499 · Waiver
201 S RIDGEWOOD AVE STE 11, EDGEWATER, FL 32132(386) 423-7575 Get Directions Write a Review

NPPES record last updated: April 2, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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

NPI1821421363
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameEDGEWATER CHIROPRACTIC CLINIC, P.A.
Location Address201 S RIDGEWOOD AVE STE 11Edgewater, FL 32132-1935
Mailing Address201 S Ridgewood Ave Ste 11Edgewater, FL 32132-1935 · (386) 423-7575
Phone(386) 423-7575
Organization SubpartNo
Authorized OfficialCarly Kristeen MeckleChiropractor · (386) 423-7575
Enumeration DateAugust 20, 2013
Last NPPES UpdateApril 2, 2018
✔ NPI 1821421363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH10882
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.
201 S RIDGEWOOD AVE STE 11, Edgewater, FL 32132
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Secondary Practice Location 1

Location 13945 S Nova RdPort Orange, FL 32127-4910 · Phone (386) 767-1100

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

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, FL
Active · expires Apr 29, 2027
CLIA Number10D2165499
Laboratory TypePractitioner Other
Certificate Effective DateApril 30, 2025
Certificate Expiration DateApril 29, 2027
Laboratory DirectorCarly K. Meckle
Laboratory Phone(386) 423-7575
Laboratory LocationEdgewater Chiropractic Clinic PA201 S Ridgewood Ave Ste #11, Edgewater, FL 32132
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 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.

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.