Southeastern Healthcare of Jacksonville, PC
NPI 1316090889ActiveOrganization· Chiropractor· Jacksonville, NC
Chiropractor in Jacksonville, North Carolina, registered in NPPES in January 2007, part of Southeastern Healthcare of Jacksonville. The authorized official on file is Eliza R. Gray, Office Manager.
Overview
| NPI | 1316090889 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Southeastern Healthcare of Jacksonville |
| NPI issued | Jan 19, 2007 |
| Last updated in NPPES | Oct 1, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 3421 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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