Active NPI
Mickey Travis Sizemore, D.C.
- Chiropractor
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR010432
- Practice address
- 4200 E North St
Suite 18
Greenville, SC 29615-2437 - Phone
- (864) 292-0226
- Fax
- (864) 268-7022
- NPI assigned
- Dec 11, 2006
- Last updated
- Oct 23, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR010432 | GA | Primary |
| Chiropractor | 111N00000X | 3595 | SC |
Addresses
Primary practice location
4200 E North St
Suite 18
Greenville, SC 29615-2437
Mailing address
1241 Clingman Dr
Fort Mill, SC 29715-0083
Phone (843) 295-2998
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 385786 | Other | VA | ANTHEM BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
461 Johnny Mercer Blvd
Suite C3
Savannah, GA 31410-2221
Phone (843) 706-2378
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3595 | SC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chirowellness | Chiropractor | Current | Accepting new patients |
| Mickey Travis Sizemore | Chiropractor | Past | Accepting new patients |
| Healthsource Cayce, LLC | Chiropractor | Past | Accepting new patients |
| Zellweger Family Chiropractic | Chiropractor | Past | Accepting new patients |
Locations
2427 Fish Hatchery Rd
West Columbia, SC 29172
Phone (803) 939-0785
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Islands Chiropractic Clinic
- Chiropractor
- Savannah, GA
- NPI 1891212759
-
- Chiropractor
- West Columbia, SC
- NPI 1801221148
-
- Chiropractor
- Cayce, SC
- NPI 1457671224
-
dba Richmond Hill Family Chiropractic
- Chiropractor
- Richmond Hill, GA
- NPI 1629536057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603411200000",
"number": "1194885111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1241 CLINGMAN DR",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297150083",
"telephone_number": "843-295-2998"
},
{
"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": {
"last_name": "SIZEMORE",
"first_name": "MICKEY",
"middle_name": "TRAVIS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2020-10-23",
"certification_date": "2020-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR010432",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "3595",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "385786",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
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 23, 2020; 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.