Organization Active NPI

Physicians Healthcare of Dillon, P.C.

  • Specialist
  • Dillon, SC
National Provider Identifier
1275651531
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
159875 Issued in SC
Legal business name
PHYSICIANS HEALTHCARE OF DILLON, P.C.
Practice address
1639 Highway 301 N
Dillon, SC 29536-1945
Phone
(843) 774-8438
Fax
(843) 841-0703
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. John K Stanton, Jr., D.C.
Title
Owner
Phone
(843) 774-8438

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 794 SC
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 159875 SC Primary
Clinic/Center 261Q00000X 794 SC

Addresses

Primary practice location

1639 Highway 301 N
Dillon, SC 29536-1945

Mailing address

1639 Highway 301 N
Dillon, SC 29536-1945
Phone (843) 774-8438

Other identifiers 2

IdentifierTypeStateIssuer
GHC 473MedicaidSC
GP4109MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040928001095 SC Part B Supplier - Clinic/Group Practice 0446229207 Receives reassigned benefits from 1 practitioner
Practice locations: Dillon, SC

National Provider Directory

National Provider Directory
Tax ID family
Physicians Healthcare of Dillon2 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

1639 Highway 301 N
Dillon, SC 29536
Phone (843) 774-5182

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": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1275651531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1639 HIGHWAY 301 N",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295361945",
            "telephone_number": "843-774-8438",
            "fax_number": "843-841-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 HIGHWAY 301 N",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295361945",
            "telephone_number": "843-774-8438",
            "fax_number": "843-841-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS HEALTHCARE OF DILLON, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "STANTON, JR.",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-774-8438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "794",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "159875",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "SC",
            "license": "794",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GHC 473",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4109",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dillon, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.