DR. JEFF HOLZWORTH SHAFFER D.C.
NPI 1992766562
Chiropractor in Southport, NC

Active since March 31, 2006Accepts Medicare Assignment
3960 EXECUTIVE PARK BLVD STE 5, SOUTHPORT, NC 28461(910) 454-8100(910) 454-8101 Get Directions Write a Review

NPPES record last updated: May 1, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Jeff Holzworth Shaffer D.c. NPPES

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

DR. JEFF HOLZWORTH SHAFFER D.C. (NPI 1992766562) is an individual chiropractor in Southport, North Carolina, licensed in North Carolina (2905) and active in the NPI registry since March 2006. He maintains a secondary practice location in Southport and is a graduate of Life Chiropractic College (2000).

NPPES Registry Identity

NPI1992766562
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JEFF HOLZWORTH SHAFFERCredential: D.C.
Location Address3960 EXECUTIVE PARK BLVD STE 5Southport, NC 28461-8184
Mailing Address3960 Executive Park Blvd Ste 5Southport, NC 28461-8184 · (910) 454-8100 · Fax (910) 454-8101
Fax(910) 454-8101
Sole ProprietorNo
Medical School CMSLife Chiropractic CollegeGraduated 2000
Enumeration DateMarch 31, 2006
Last NPPES UpdateMay 1, 2019
NPI 1992766562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in NC · 2905
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.
3960 EXECUTIVE PARK BLVD STE 5, Southport, NC 28461

Secondary Practice Location 1

Location 1412 N Howe StSouthport, NC 28461-3400 · Phone (910) 454-8100

Other Identifiers 1

Medicaid89085AYNC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jeff Holzworth Shaffer 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 ID1658415005
PECOS Enrollment IDI20100223000358

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
2,150 services160 patients
Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
178 services41 patients

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 Jeff Shaffer's NPI number?

The NPI number for Jeff Shaffer is 1992766562. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Jeff Shaffer located?

Jeff Shaffer practices at 3960 Executive Park Blvd Ste 5, Southport, NC 28461. The listed phone number is (910) 454-8100.

What is Jeff Shaffer's specialty?

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

Is Jeff Shaffer enrolled in Medicare?

Yes. Jeff Shaffer 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.

What insurance does Jeff Shaffer accept?

Health plans from Blue Cross and Blue Shield of NC list Jeff Shaffer 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 Jeff Shaffer was last updated on May 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.