Individual provider Active NPI

James Clayton Erickson, D.C.

  • Chiropractor
  • Summerville, SC
National Provider Identifier
1174678221
Registry record updated Aug 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-010503 Issued in IL
Practice address
1203 Old Trolley Rd Ste F
Summerville, SC 29485-5296
Phone
(843) 486-0999
Fax
(843) 486-0989
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-010503 IL Primary
Chiropractor 111N00000X 3745 SC

Addresses

Primary practice location

1203 Old Trolley Rd Ste F
Summerville, SC 29485-5296

Mailing address

1203 Old Trolley Rd Ste F
Summerville, SC 29485-5296
Phone (843) 486-0999

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
3745SCMDProfessional Counselor
038-010503ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiro One Wellness Center of South Barrington LLC Chiropractor PastSince Dec 1, 2014 Accepting new patients
Atlantic Coast Physical Medicine, LLC Chiropractor PastSince Jun 3, 2009 Accepting new patients
Wilder Chiropractic, Inc. PastSince Sep 1, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377216000000",
    "number": "1174678221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 OLD TROLLEY RD STE F",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855296",
            "telephone_number": "843-486-0999",
            "fax_number": "843-486-0989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 OLD TROLLEY RD STE F",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855296",
            "telephone_number": "843-486-0999",
            "fax_number": "843-486-0989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "JAMES",
        "middle_name": "CLAYTON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2013-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010503",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3745",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; 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.