JEB KINCANNON DPT
NPI 1831964980
Physical Therapist - Orthopedic in Palatka, FL
About Jeb Kincannon Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEB KINCANNON DPT (NPI 1831964980) is an individual orthopedic provider in Palatka, Florida and active in the NPI registry since November 2023. He is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jeb Kincannon Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Jeb Kincannon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ponte Vedra, FL 32081
- Reassigned Medicare billing, Florida enrollment
- 3 clinicians in this Medicare group
Jacksonville Beach, FL 32250
- Reassigned Medicare billing, Florida enrollment
- 26 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jeb Kincannon's NPI number?
The NPI number for Jeb Kincannon is 1831964980. It was assigned to this individual provider in the NPPES registry on November 20, 2023.
Where is Jeb Kincannon located?
Jeb Kincannon practices at 6500 Crill Ave Bldg 3, Palatka, FL 32177. The listed phone number is (386) 325-1119.
What is Jeb Kincannon's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.
Is Jeb Kincannon enrolled in Medicare?
Yes. Jeb Kincannon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jeb Kincannon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeb Kincannon reassigns Medicare benefits to 2 organizations: Revision Health Services, PLLC (Ponte Vedra, FL) and Concierge Physio LLC (Jacksonville Beach, FL). Each 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 Jeb Kincannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeb Kincannon accept?
Health plans from Ambetter Health, Ambetter of Alabama, Molina Healthcare and Wellpoint list Jeb Kincannon 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 Jeb Kincannon was last updated on November 20, 2023. 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.
# Jeb Kincannon, DPT · NPI 1831964980
Orthopedic provider in Palatka, Florida. Individual provider, active in the CMS NPPES registry since November 20, 2023.
## Identity
- **NPI:** 1831964980 (Entity type: Individual)
- **Enumerated:** November 20, 2023
- **Primary specialty:** Physical Therapist - Orthopedic · taxonomy 2251X0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 6500 CRILL AVE BLDG 3, Palatka, FL 32177-9231
- **Phone:** (386) 325-1119
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Revision Health Services, PLLC (NPI 1659994911, Ponte Vedra, FL); Concierge Physio LLC (NPI 1013559632, Jacksonville Beach, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** November 20, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1831964980) · Data from the CMS NPPES public registry.