Organization Active NPI

Dr. Elaine Jeffers, LLC

  • Clinic/Center
  • Hilton Head, SC
National Provider Identifier
1043440936
Registry record updated Jul 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
2233 Issued in SC
Legal business name
DR. ELAINE JEFFERS, LLC
Practice address
14 New Orleans Rd Ste 4
Hilton Head, SC 29928-4777
Phone
(843) 842-7575
Fax
(843) 842-7676
NPI assigned
Jul 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2009

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

Authorized official

Name
Dr. Elaine Jeffers, DC
Title
Owner/President
Phone
(843) 842-7575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 2233 SC Primary

Addresses

Primary practice location

14 New Orleans Rd Ste 4
Hilton Head, SC 29928-4777

Mailing address

14 New Orleans Rd Ste 4
Hilton Head, SC 29928-4777
Phone (843) 842-7575

Other identifiers 1

IdentifierTypeStateIssuer
CH2233MedicaidSC

Other names 1

  • Island Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

Locations

14 New Orleans Rd
Ste 4
Hilton Head Island, SC 29928
Phone (843) 842-7575

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248480000000",
    "number": "1043440936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 NEW ORLEANS RD STE 4",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299284777",
            "telephone_number": "843-842-7575",
            "fax_number": "843-842-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 NEW ORLEANS RD STE 4",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299284777",
            "telephone_number": "843-842-7575",
            "fax_number": "843-842-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ELAINE JEFFERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-25",
        "last_updated": "2009-07-25",
        "status": "A",
        "authorized_official_last_name": "JEFFERS",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "843-842-7575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "SC",
            "license": "2233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2233",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hilton Head, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.