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DR. NOAH CLAYTON-JOHN BEAUDRY D.C.
NPI 1952748873
Chiropractor in Fernandina Beach, FL

Active since June 01, 2013Accepts Medicare Assignment
961687 GATEWAY BLVD STE 101B, FERNANDINA BEACH, FL 32034(904) 624-1321(904) 624-1789 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Noah Clayton-john Beaudry D.c. NPPES

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

DR. NOAH CLAYTON-JOHN BEAUDRY D.C. (NPI 1952748873) is an individual chiropractor in Fernandina Beach, Florida, licensed in Florida (15298) and active in the NPI registry since June 2013. He is a graduate of Life Chiropractic College (2013).

NPPES Registry Identity

NPI1952748873
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. NOAH CLAYTON-JOHN BEAUDRYCredential: D.C.
Location Address961687 GATEWAY BLVD STE 101BFernandina Beach, FL 32034-9158
Mailing Address961687 Gateway Blvd Ste 101bFernandina Beach, FL 32034-9158 · (904) 624-1321 · Fax (904) 624-1789
Phone(904) 624-1321
Fax(904) 624-1789
Sole ProprietorNo
Medical School CMSLife Chiropractic CollegeGraduated 2013
Enumeration DateJune 1, 2013
Last NPPES UpdateSeptember 26, 2025
NPPES CertifiedSeptember 26, 2025
✔ NPI 1952748873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · 15298
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.
961687 GATEWAY BLVD STE 101B, Fernandina Beach, FL 32034
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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

Dr. Noah Clayton-john Beaudry D.c. 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.

PECOS PAC ID1951543271
PECOS Enrollment IDI20260204001312

Medicare Billing Reassignment

Medicare enrollment records show Noah Beaudry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sunshine Spine Clinic PLLC
Same address
Chiropractor
961687 GATEWAY BLVD STE 101B
Fernandina Beach, FL 32034
  • Reassigned Medicare billing, Florida enrollment
NPI 1811860604 (904) 624-1321

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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUNSHINE SPINE CLINIC PLLC
Chiropractor
961687 GATEWAY BLVD STE 101B
FERNANDINA BEACH, FL 32034
Nassau County (904) 624-1321

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 Noah Beaudry's NPI number?

The NPI number for Noah Beaudry is 1952748873. It was assigned to this individual provider in the NPPES registry on June 1, 2013.

Where is Noah Beaudry located?

Noah Beaudry practices at 961687 Gateway Blvd Ste 101B, Fernandina Beach, FL 32034. The listed phone number is (904) 624-1321.

What is Noah Beaudry's specialty?

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

Is Noah Beaudry enrolled in Medicare?

Yes. Noah Beaudry 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 organization bills Medicare for Noah Beaudry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Noah Beaudry reassigns Medicare benefits to Sunshine Spine Clinic PLLC (Fernandina Beach, FL). The 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 Noah Beaudry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Noah Beaudry was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.