Active NPI
Tommie D Clewis, DC
- Chiropractor
- Pinehurst, NC
National Provider Identifier
1073500146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1825
- Practice address
- 315 Page Rd N Ste 11
Pinehurst, NC 28374-0087 - Phone
- (910) 295-1215
- Fax
- (910) 295-1814
- NPI assigned
- Oct 4, 2005
- Last updated
- Dec 4, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1825 | NC | Primary |
Addresses
Primary practice location
315 Page Rd N Ste 11
Pinehurst, NC 28374-0087
Mailing address
921 E Broad Ave
Rockingham, NC 28379-4338
Phone (910) 895-6042
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0846H | Other | NC | BLUE CROSS/BLUE SHIELD |
| 890846H | Medicaid | NC | |
| FH7000200 | Other | NC | FIRST CAROLINA CARE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.pinehurstchiro.com/ | ||
| Other URL | https://www.pinehurstchiro.com/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1990
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
315 Page Rd
Suite 11
Pinehurst, NC 28374-8751
Phone (910) 295-1215
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1825 | NC | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinehurst Chiropractic Inc | Chiropractor | Current | Accepting new patients |
Locations
315 Page Rd N
Ste 11
Pinehurst, NC 28374
Phone (910) 295-1215
Organizations & group practices 1
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.
-
- Chiropractor
- Pinehurst, NC
- NPI 1902975865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575417600000",
"number": "1073500146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 E BROAD AVE",
"city": "ROCKINGHAM",
"state": "NC",
"postal_code": "283794338",
"telephone_number": "910-895-6042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 PAGE RD N STE 11",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283740087",
"telephone_number": "910-295-1215",
"fax_number": "910-295-1814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEWIS",
"first_name": "TOMMIE",
"middle_name": "D",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-04",
"last_updated": "2019-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "1825",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "0846H",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890846H",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST CAROLINA CARE",
"identifier": "FH7000200",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://www.pinehurstchiro.com/",
"affiliation": "N",
"endpointDescription": "Pinehurst Chiropractic Website",
"address_1": "315 Page Rd N Ste 11",
"city": "Pinehurst",
"state": "NC",
"country_code": "US",
"postal_code": "283740087",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://www.pinehurstchiro.com/",
"affiliation": "N",
"address_1": "315 Page Rd N Ste 11",
"city": "Pinehurst",
"state": "NC",
"country_code": "US",
"postal_code": "283740087",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pinehurst, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.