Organization Active NPI

Dr. Karyn G Meadows LLC

  • Chiropractor
  • Summerville, SC
National Provider Identifier
1205199049
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3395 Issued in SC
Legal business name
DR. KARYN G MEADOWS LLC
Practice address
801 Travelers Blvd Ste A2
Summerville, SC 29485-8476
Phone
(843) 553-9700
Fax
(432) 859-3098
NPI assigned
Jun 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Authorized official

Name
Dr. Karyn G Meadows, D.C.NPI 1427347632
Title
Owner
Phone
(843) 970-0815

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 3395 SC Primary

Addresses

Primary practice location

801 Travelers Blvd Ste A2
Summerville, SC 29485-8476

Mailing address

801 Travelers Blvd Ste A2
Summerville, SC 29485-8476
Phone (843) 970-0815

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121102000479 SC Part B Supplier - Clinic/Group Practice 1759532567 Receives reassigned benefits from 1 practitioner
Practice locations: Summerville, SC

National Provider Directory

National Provider Directory
Tax ID family
Dr Karyn G Meadows LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

318 N Cedar St
Ste B
Summerville, SC 29483
Phone (843) 471-7743

215 E 5th North St
Summerville, SC 29483
Phone (843) 873-2225

Practitioners & affiliated clinicians

Practitioners 1

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": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1205199049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 TRAVELERS BLVD STE A2",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858476",
            "telephone_number": "843-970-0815",
            "fax_number": "843-285-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 TRAVELERS BLVD STE A2",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858476",
            "telephone_number": "843-553-9700",
            "fax_number": "432-859-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KARYN G MEADOWS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-18",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "MEADOWS",
        "authorized_official_first_name": "KARYN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-970-0815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3395",
            "primary": true
        }
    ],
    "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 Jan 31, 2024; 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.