Nicholas Aaron McCoy, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3453 Issued in SC

Practice address

112 Broughton Rd
Ste B
Moncks Corner, SC 29461-4021

Phone

(843) 761-4470

Fax

(843) 695-7932

NPI assigned

Apr 15, 2009

Last updated

Jun 16, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clouse Chiropractic Services LLC

  dba Moncks Corner Chiropractic

  • Chiropractor
  • Moncks Corner, SC
  • NPI 1831597772
  Medicare reassignment Authorized official
• Belle Hall Chiropractic Services, LLC

  dba Belle Hall Chiropractic

  • Clinic/Center
  • Mount Pleasant, SC
  • NPI 1235373747
  NPD (past)

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1063655421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N. HWY 52 SUITE D #127",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "29461",
            "telephone_number": "843-761-4470",
            "fax_number": "843-695-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 BROUGHTON RD",
            "address_2": "STE B",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294614021",
            "telephone_number": "843-761-4470",
            "fax_number": "843-695-7932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "NICHOLAS",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-15",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P01593884",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH3453",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kanetra M Martin
• Marc Marvin, PHARMD
• Mary Matthews, PT
• Kelsey L. Mazzocco, ATC
• Donna M McClure
• Christy Y. McCrea, LPN
• Melanie McEndree, LMT,NMT
• Hayden McKenney, PA-C
• Bernice M McKenzie
• Tonya R McKinley, RN

• Chiropractor in Moncks Corner, SC
• Providers in Moncks Corner, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.