DAVENPORT CHIROPRACTIC, P.A.
NPI 1922263052
Chiropractor in Jacksonville, FL
About Davenport Chiropractic, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVENPORT CHIROPRACTIC, P.A. (NPI 1922263052) is a healthcare organization registered as a chiropractor in Jacksonville, Florida and active in the NPI registry since July 2008. The organization lists Austin Glennon, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Davenport Chiropractic, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Davenport Chiropractic, P.A., which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Davenport Chiropractic, P.A.'s NPI number?
The NPI number for Davenport Chiropractic, P.A. is 1922263052. It was assigned to this organization in the NPPES registry on July 29, 2008.
Where is Davenport Chiropractic, P.A. located?
Davenport Chiropractic, P.A. is located at 4745 Sutton Park Ct Ste 404, Jacksonville, FL 32224. The listed phone number is (904) 246-1512.
What is Davenport Chiropractic, P.A.'s specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Davenport Chiropractic, P.A. enrolled in Medicare?
Yes. Davenport Chiropractic, P.A. is registered in the Medicare PECOS enrollment system.
When is Davenport Chiropractic, P.A.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Davenport Chiropractic, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Davenport Chiropractic, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Davenport Chiropractic, P.A. was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.
# Davenport Chiropractic, P.a. · NPI 1922263052
Chiropractor organization in Jacksonville, Florida. Organization record, active in the CMS NPPES registry since July 29, 2008.
## Identity
- **NPI:** 1922263052 (Entity type: Organization)
- **Enumerated:** July 29, 2008
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Austin Glennon, OWNER
## Practice location
- **Address:** 4745 SUTTON PARK CT STE 404, Jacksonville, FL 32224-0255
- **Phone:** (904) 246-1512 · **Fax:** (904) 246-8105
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1922263052) · Data from the CMS NPPES public registry.