COASTAL CITY CHIROPRACTIC CENTER LLC
NPI 1871069732
Chiropractor in Port Orange, FL

Q: What is Coastal City Chiropractic Center LLC's NPI number?

The NPI number for Coastal City Chiropractic Center LLC is 1871069732. It was assigned to this organization in the NPPES registry on October 18, 2018.

Q: What is Coastal City Chiropractic Center LLC's specialty?

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

Active since October 18, 2018

4550 CLYDE MORRIS BLVD STE D, PORT ORANGE, FL 32129(941) 504-2257 Get Directions Write a Review

NPPES record last updated: October 18, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Coastal City Chiropractic Center Llc NPPES

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

COASTAL CITY CHIROPRACTIC CENTER LLC (NPI 1871069732) is a healthcare organization registered as a chiropractor in Port Orange, Florida and active in the NPI registry since October 2018. The organization lists Jennifer Chelsie Demaio, Chiropractic Physician, as its authorized official.

NPPES Registry Identity

NPI1871069732

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameCOASTAL CITY CHIROPRACTIC CENTER LLC

Location Address4550 CLYDE MORRIS BLVD STE DPort Orange, FL 32129-4080

Mailing Address3939 S Atlantic Ave Apt APort Orange, FL 32127-6521 · (941) 504-2257

Phone(941) 504-2257

Organization SubpartNo

Authorized OfficialJennifer Chelsie DemaioChiropractic Physician · (941) 504-2257

Enumeration DateOctober 18, 2018

✔ NPI 1871069732 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.

4550 CLYDE MORRIS BLVD STE D, Port Orange, FL 32129

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coastal City Chiropractic Center Llc 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 Coastal City Chiropractic Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jennifer Demaio, DC

Chiropractic

NPI 1639654387

4550 CLYDE MORRIS BLVD STE D
Port Orange, FL 32129

(941) 504-2257

✔ 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 Coastal City Chiropractic Center LLC's NPI number?

The NPI number for Coastal City Chiropractic Center LLC is 1871069732. It was assigned to this organization in the NPPES registry on October 18, 2018.

Where is Coastal City Chiropractic Center LLC located?

Coastal City Chiropractic Center LLC is located at 4550 Clyde Morris Blvd Ste D, Port Orange, FL 32129. The listed phone number is (941) 504-2257.

What is Coastal City Chiropractic Center LLC's specialty?

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

Is Coastal City Chiropractic Center LLC enrolled in Medicare?

Yes. Coastal City Chiropractic Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal City Chiropractic Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Coastal City Chiropractic Center LLC. 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.

What insurance does Coastal City Chiropractic Center LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Coastal City Chiropractic Center LLC 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 Coastal City Chiropractic Center LLC was last updated on October 18, 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.