Organization Active NPI

Emory Upper Cervical Chiropractic Dba Wellness Chiropractic Health Cen

  • Chiropractor
  • Duncan, SC
National Provider Identifier
1255659710
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3187 Issued in SC
Legal business name
EMORY UPPER CERVICAL CHIROPRACTIC DBA WELLNESS CHIROPRACTIC HEALTH CEN
Practice address
1660A E Main St
Duncan, SC 29334-9706
Phone
(864) 486-9600
NPI assigned
May 8, 2010
Last updated
Dec 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Authorized official

Name
Ms. Tammy Caroline Emory, DCNPI 1669643573
Title
President
Phone
(864) 486-9600

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
Chiropractor 111N00000X 3187 SC Primary

Addresses

Primary practice location

1660A E Main St
Duncan, SC 29334-9706

Mailing address

1660A E Main St
Duncan, SC 29334-9706
Phone (864) 486-9600

Other identifiers 1

IdentifierTypeStateIssuer
9520OtherSCMEDICARE PTAN GROUP NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100802000306 SC Part B Supplier - Clinic/Group Practice 8527191295 Receives reassigned benefits from 1 practitioner
Practice locations: Duncan, SC

National Provider Directory

National Provider Directory

Locations

1660A E Main St
Duncan, SC 29334
Phone (864) 486-9600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1273276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354492800000",
    "number": "1255659710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660A E MAIN ST",
            "city": "DUNCAN",
            "state": "SC",
            "postal_code": "293349706",
            "telephone_number": "864-486-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660A E MAIN ST",
            "city": "DUNCAN",
            "state": "SC",
            "postal_code": "293349706",
            "telephone_number": "864-486-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMORY UPPER CERVICAL CHIROPRACTIC DBA WELLNESS CHIROPRACTIC HEALTH CEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-08",
        "last_updated": "2012-12-03",
        "status": "A",
        "authorized_official_last_name": "EMORY",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "CAROLINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-486-9600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE  PTAN GROUP NUMBER",
            "identifier": "9520",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncan, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.