Michael Shannon Weatherford, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2567 Issued in SC

Practice address

1105 48TH Ave N
Suite 106
Myrtle Beach, SC 29577-5419

Phone

(843) 497-5197

NPI assigned

Oct 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Michael S Weatherford DC, P.a.

  • Chiropractor
  • Myrtle Beach, SC
  • NPI 1811304371
  Medicare reassignment Authorized official
• Atlantic Spine,LLC

  • Chiropractor
  • Myrtle Beach, SC
  • NPI 1821177080
  NPD (past)

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295812154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 48TH AVE N",
            "address_2": "SUITE 106",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775419",
            "telephone_number": "843-497-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 48TH AVE N",
            "address_2": "SUITE 106",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775419",
            "telephone_number": "843-497-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERFORD",
        "first_name": "MICHAEL",
        "middle_name": "SHANNON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2567",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2980",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2567",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerry E Watson, MD
• Ashleigh Mildred Watts, SLP-CF
• Tanekqua Watts
• We Care for Elders and More
• Christina Nichole Weatherford, FNP-C
• Karl Weber, CNP
• Jeffrey Thomas Weeden, P.A.
• Janell Michelle Weeks-Smith, MSN,RN
• Susan Elizabeth Corley Weems, RPH
• Weimer Skin Clinic, P.a.

• Chiropractor in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.