Healthsource of West Columbia

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

HEALTHSOURCE OF WEST COLUMBIA

Practice address

2427 Fish Hatchery Rd
West Columbia, SC 29172-2093

Phone

(803) 939-0785

NPI assigned

Jul 14, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Greg Schmitz Jr.

Title

Credentialing Supervisor

Phone

(440) 653-5973

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 3

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

• Jennifer Lee, DC

  • Chiropractor
  • West Columbia, SC
  • NPI 1104684323
  Medicare reassignment NPD
• Johnny J Sanders III, DC

  • Chiropractor
  • West Columbia, SC
  • NPI 1265898464
  Medicare reassignment NPD
• Tatiana S Sanders, DC

  • Chiropractor
  • Columbia, SC
  • NPI 1528497419
  Medicare reassignment NPD

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1134572258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2427 FISH HATCHERY RD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291722093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2427 FISH HATCHERY RD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291722093",
            "telephone_number": "803-939-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE OF WEST COLUMBIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "SCHMITZ",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "440-653-5973",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Torroni Hazelrigg, APRN
• Brian Kent Heaberlin, MD
• Trey Allen Head, LPTA
• Jill B Healey, M.D.
• Healing Roots Therapy and Consulting Services LLC.
• Healthstat Onsite Clinic Harsco Rail
• Healthwise Personal Services, LLC
• Healthy Roots Chiropractic, LLC
• Hearing Healthcare of South Carolina
• Heather Coleman Therapy LLC

• Chiropractor in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.