NPIMap

Organization Active NPI

Mickey Travis Sizemore

  • Chiropractor
  • Greenville, SC
National Provider Identifier
1184662124
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3595 Issued in SC
Legal business name
MICKEY TRAVIS SIZEMORE
Doing business as
Greenville Chiropractic
Practice address
4200 E North St
Suite 18
Greenville, SC 29615-2437
Phone
(864) 292-0226
Fax
(864) 268-7022
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Authorized official

Name
Dr. Mickey Travis Sizemore, D.C.NPI 1194885111
Title
Physician/Owner
Phone
(864) 292-0226

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3595 SC Primary

Addresses

Primary practice location

4200 E North St
Suite 18
Greenville, SC 29615-2437

Mailing address

4200 E North St
Suite 18
Greenville, SC 29615-2437
Phone (864) 292-0226

Other identifiers 1

IdentifierTypeStateIssuer
385786OtherVAANTHEM BC/BS

Other names 1

  • Greenville Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

4200 E North St
Ste 18
Greenville, SC 29615
Phone (864) 292-0226

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1184662124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 E NORTH ST",
            "address_2": "SUITE 18",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296152437",
            "telephone_number": "864-292-0226",
            "fax_number": "864-268-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 E NORTH ST",
            "address_2": "SUITE 18",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296152437",
            "telephone_number": "864-292-0226",
            "fax_number": "864-268-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICKEY TRAVIS SIZEMORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "SIZEMORE",
        "authorized_official_first_name": "MICKEY",
        "authorized_official_middle_name": "TRAVIS",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "864-292-0226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "385786",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenville Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.