Individual provider Active NPI

Jaime Lynn Shaver, D.C.

  • Chiropractor
  • North Myrtle Beach, SC
National Provider Identifier
1174758064
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3435 Issued in SC
Practice address
205 Highway 17 N Ste a
North Myrtle Beach, SC 29582-8943
Phone
(843) 655-3528
Fax
(843) 280-2089
NPI assigned
May 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3435 SC Primary

Addresses

Primary practice location

205 Highway 17 N Ste a
North Myrtle Beach, SC 29582-8943

Mailing address

205 Highway 17 N Ste a
North Myrtle Beach, SC 29582-8943
Phone (843) 655-3528

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090630000524 SC Practitioner - Chiropractic 2466503503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2008
Medicare assignment
May accept Medicare assignment
Group practices
True Health Chiropractic, P.C.Group PAC ID 1557412608, 2 clinicians

Practice addresses (Care Compare)

1021 2ND Ave N
Suite 4
North Myrtle Beach, SC 29582-3200
Phone (843) 663-3377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
True Health Chiropractic, P.C. Chiropractor CurrentSince May 21, 2009 Accepting new patients

Locations

205 Highway 17 N
Ste A
North Myrtle Beach, SC 29582
Phone (843) 280-7533

1021 2nd Ave N
Ste 4
North Myrtle Beach, SC 29582
Phone (843) 663-3377

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": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1174758064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 HIGHWAY 17 N STE A",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295828943",
            "telephone_number": "843-655-3528",
            "fax_number": "843-280-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 HIGHWAY 17 N STE A",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295828943",
            "telephone_number": "843-655-3528",
            "fax_number": "843-280-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAVER",
        "first_name": "JAIME",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-20",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.