Jillian Marie Kersh, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3743 Issued in SC

Practice address

104 Mauldin Rd Ste G
Greenville, SC 29605-1221

Phone

(864) 272-0132

NPI assigned

Apr 12, 2010

Last updated

May 31, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Healthsource of Greenville-South

  • Chiropractor
  • Greenville, SC
  • NPI 1235407560
  NPD (past)
• Life Is Good Chiropractic

  • Chiropractor
  • Brodheadsville, PA
  • NPI 1184779621
  NPD (past)

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1255657573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MAULDIN RD STE G",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296051221",
            "telephone_number": "864-272-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MAULDIN RD STE G",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296051221",
            "telephone_number": "864-272-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSH",
        "first_name": "JILLIAN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-12",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010262",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David M Kerek, M.D.
• Erin Kern, MD
• Alan D Kerr, M.A., LPC
• Jennifer Lee Kerr, CRNA
• Taylor C Kerr, CRNA
• Kristyn Kertesz
• Bonnie L Kessler, PH.D.
• Fiona Maureen Kessler
• Ketamine Solutions, LLC
• Ian Ketchum, RBT

• Chiropractor in Greenville, SC
• Providers in Greenville, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.