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Dr. Storm W Shannon , DC, ATC

Chiropractor β€’ Jacksonville, FL

Active NPI 1366645061 Individual Practitioner Male Practitioner
Practice location in NPPES

2080 Child St
Jacksonville, FL 322146549

Call 9045427375 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2080 Child St

Jacksonville, FL 322146549

Telephone 9045427375
Organization at the Same NPPES Address or Phone
Naval Hospital Jacksonville Facility NPI 1265411383

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Jacksonville and Florida

247 active clinicians are listed under Chiropractor with a practice address in Jacksonville, FL (7,021 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jacksonville

0% of these 247 clinicians have the CMS telehealth indicator.

26.7% of these 247 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-03-05
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES MO 2007014598

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Emily Arnold , PA-C

Physician Assistant

NPI 1699496869

Physician Assistant (Certified)

Destyni Blaylock , ARNP

Nurse Practitioner

NPI 1386121135

Advanced Registered Nurse Practitioner

Dr. Kim Burke , DO

Anesthesiology

NPI 1891897336

Doctor of Osteopathic Medicine (D.O.)

Julia Camp , RN, CRNA

Nurse Anesthetist, Certified Registered

NPI 1215550835

Registered Nurse, Certified Registered Nurse Anesthetist

Dr. Jerry Chandler , DO

Internal Medicine - Cardiovascular Disease

NPI 1598739856

Doctor of Osteopathic Medicine (D.O.)

Dr. Jenny Chen , MD

Emergency Medicine

NPI 1245436781

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location March 05, 2025

Registered at 2080 CHILD ST, JACKSONVILLE, FL 322146549 (Tel: 9045427375)

πŸ“
Updated Business Mailing Address March 05, 2025

Registered at 2547 CREEKFRONT DR, GREEN COVE SPRINGS, FL 320436221 (Tel: 9046576268)

βœ…
NPI Profile Active September 07, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 07, 2007

Registered at 1730 E REPUBLIC RD, STE I, SPRINGFIELD, MO 658046549 (Tel: 4178779404)

πŸ“
Business Mailing Address (Initial Record) September 07, 2007

Registered at 1730 E REPUBLIC RD, STE I, SPRINGFIELD, MO 658046549 (Tel: 4178779404)

πŸ‘€
Provider Name / Credentials (Initial Record) September 07, 2007

Recorded as STORM SHANNON, D.C., A.T.C.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2007

Chiropractor (license number reported to NPPES: MO 2007014598)

🟒
Initial NPI Registration & Enumeration June 08, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1366645061
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2007
Last Update: March 05, 2025
Sole Proprietor: No

Other Chiropractors in Jacksonville

All Chiropractors in Jacksonville

Mailing Address

2547 Creekfront Dr

Green Cove Springs, FL 320436221

Phone: 9046576268

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.