Individual provider Active NPI

Jay A Whitlock, D.C.

  • Chiropractor
  • Seneca, SC
National Provider Identifier
1073567012
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2483 Issued in SC
Practice address
16 Accountants Cir Ste 1
Seneca, SC 29678-2670
Phone
(864) 882-5191
Fax
(864) 863-1830
NPI assigned
May 22, 2006
Last updated
Aug 31, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2483 SC Primary

Addresses

Primary practice location

16 Accountants Cir Ste 1
Seneca, SC 29678-2670

Mailing address

16 Accountants Cir Ste 1
Seneca, SC 29678-2670
Phone (864) 882-5191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2483SCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Medical Center LLC CurrentSince Apr 29, 2024 Accepting new patients
Dr. Jay Whitlock, LLC Chiropractor PastSince Sep 7, 2006 Accepting new patients
Family Chiropractic of Charleston, Inc. Chiropractor Past Accepting new patients

Locations

12 Groce Rd
Lyman, SC 29365
Phone (864) 326-9183

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17366/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1073567012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 ACCOUNTANTS CIR STE 1",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296782670",
            "telephone_number": "864-882-5191",
            "fax_number": "864-863-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 ACCOUNTANTS CIR STE 1",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296782670",
            "telephone_number": "864-882-5191",
            "fax_number": "864-863-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLOCK",
        "first_name": "JAY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.