Dr. Jack Roberts Thompson , DC
Chiropractor • St Augustine, FL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jack Thompson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Jack Thompson, DC was a registered Chiropractor practicing in St Augustine, FL. Throughout an active medical career spanning 16 years, Dr. Thompson provided care at the practice location at 3336 CARMEL RD until profile deactivation on 2023-07-12.
Practice Location & Contact Primary Location
3336 Carmel Rd
St Augustine, FL 320866404
Specialty Benchmarks & Practice Insights
Comparative analytics for Chiropractor in St Augustine, FL
Practicing in St Augustine, FL (7309 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 111N00000X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on July 12, 2023
NPI status registered as active in NPPES database
Registered at 3336 CARMEL RD, ST AUGUSTINE, FL 320866404 (Tel: 9047945500)
Registered at 3336 CARMEL RD, ST AUGUSTINE, FL 320866404 (Tel: 9047945500)
Recorded as JACK THOMPSON, D.C.
Chiropractor (License #CH 8927 in FL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
3336 Carmel Rd
St Augustine, FL 320866404
Phone: 9047945500
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