Main Healthcare LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4068 Issued in SC

Legal business name

MAIN HEALTHCARE LLC

Practice address

400 Market St
Cheraw, SC 29520-2637

Phone

(843) 537-8200

Fax

(843) 537-8444

NPI assigned

May 17, 2017

Last updated

May 17, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gail A Wilson

Title

Billing Administrator

Phone

(864) 644-2700

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Walter R. Main, D.C.

  • Neurology Chiropractor
  • Cheraw, SC
  • NPI 1780690289
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494979200000",
    "number": "1023545316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 GENTRY MEMORIAL HWY",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296406940",
            "telephone_number": "864-644-2700",
            "fax_number": "864-644-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MARKET ST",
            "city": "CHERAW",
            "state": "SC",
            "postal_code": "295202637",
            "telephone_number": "843-537-8200",
            "fax_number": "843-537-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-17",
        "last_updated": "2017-05-17",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "864-644-2700"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "4068",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Agostina Liotta
• Brittney Inci Little
• Camillia L Livingston, RN
• Luv-N-Caring LLC
• Ellen Wallace Mabe
• Walter R. Main, D.C.
• Charles Patrick McDonald Jr., NP
• McIvers Adult & Youth Services LLC
• Eric McLaine, DO
• McLeod Family Medicine PA

• Chiropractor in Cheraw, SC
• Providers in Cheraw, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.