Individual provider Active NPI

Rochelle Jones, DC

  • Chiropractor
  • Columbia, SC
National Provider Identifier
1114921780
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1187 Issued in SC
Practice address
5209 Forest Dr
Suite C
Columbia, SC 29206-5422
Phone
(803) 771-9990
NPI assigned
Jun 10, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1187 SC Primary

Addresses

Primary practice location

5209 Forest Dr
Suite C
Columbia, SC 29206-5422

Mailing address

5209 Forest Dr
Suite C
Columbia, SC 29206-5422
Phone (803) 771-9990

Other identifiers 1

IdentifierTypeStateIssuer
CH1187MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041005000844 SC Practitioner - Chiropractic 8527027630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Lincoln Chiropractic College, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5209 C Forest Dr
Suite C
Columbia, SC 29206-4920

5209 Forest Dr C
Columbia, SC 29206-4920
Phone (803) 771-9990

5209 Forest Dr C
Columbia, SC 29206-5422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1187SCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Wellness Center Inc. Chiropractor CurrentSince Nov 2, 2009 Accepting new patients

Locations

2711 Middleburg Dr
Ste 303
Columbia, SC 29204
Phone (803) 771-9990

5209 Forest Dr
Ste C
Columbia, SC 29206
Phone (803) 771-9990

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1114921780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5209 FOREST DR",
            "address_2": "SUITE C",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292065422",
            "telephone_number": "803-771-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5209 FOREST DR",
            "address_2": "SUITE C",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292065422",
            "telephone_number": "803-771-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ROCHELLE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-10",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH1187",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; 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.