NPIMap

Organization Active NPI

Palmetto Wellness and Injury Center of Marion County

  • Chiropractor
  • Marion, SC
National Provider Identifier
1033583133
Registry record updated Nov 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4082 Issued in SC
Legal business name
PALMETTO WELLNESS AND INJURY CENTER OF MARION COUNTY
Practice address
2516 East Highway 76
Marion, SC 29571-6348
Phone
(843) 423-7363
Fax
(843) 423-7364
NPI assigned
Nov 30, 2015
Last updated
Nov 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2016

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

Authorized official

Name
Dr. Darren R Sealey, D.C.NPI 1447608757
Title
Doctor
Phone
(843) 423-7363

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4082 SC Primary

Addresses

Primary practice location

2516 East Highway 76
Marion, SC 29571-6348

Mailing address

362 S Barrington Dr
Florence, SC 29501-8668
Phone (843) 423-7363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161103002157 SC Part B Supplier - Clinic/Group Practice 6406134980 Receives reassigned benefits from 1 practitioner
Practice locations: Marion, SC; North Myrtle Beach, SC

National Provider Directory

National Provider Directory

Locations

2516 E Highway 76
Ste B
Marion, SC 29571
Phone (843) 423-7363

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478304000000",
    "number": "1033583133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 S BARRINGTON DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295018668",
            "telephone_number": "843-423-7363",
            "fax_number": "843-423-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 EAST HIGHWAY 76",
            "city": "MARION",
            "state": "SC",
            "postal_code": "295716348",
            "telephone_number": "843-423-7363",
            "fax_number": "843-423-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO WELLNESS AND INJURY CENTER OF MARION COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-30",
        "last_updated": "2016-11-05",
        "status": "A",
        "authorized_official_last_name": "SEALEY",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "843-423-7363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2016; 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.