Individual provider Active NPI

Tracy Dallas Lummus, D.C.

  • Chiropractor
  • Conway, SC
National Provider Identifier
1275712150
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5142 Issued in KY
Practice address
1501 9TH Ave
Conway, SC 29526-4107
Phone
(843) 248-0104
Fax
(843) 248-4046
NPI assigned
Oct 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5142 KY Primary

Addresses

Primary practice location

1501 9TH Ave
Conway, SC 29526-4107

Mailing address

1501 9TH Ave
Conway, SC 29526-4107
Phone (843) 248-0104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Falk Family Total Health, LLC PastSince Sep 22, 2021 Accepting new patients
Chiro One Wellness Center of Mill Pond PLLC Chiropractor Past Accepting new patients
Falk Family Chiropractic Center P.C Chiropractor PastSince Jul 1, 2004 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343952000000",
    "number": "1275712150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 9TH AVE",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295264107",
            "telephone_number": "843-248-0104",
            "fax_number": "843-248-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 9TH AVE",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295264107",
            "telephone_number": "843-248-0104",
            "fax_number": "843-248-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUMMUS",
        "first_name": "TRACY",
        "middle_name": "DALLAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-29",
        "last_updated": "2012-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

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