Individual provider Active NPI

Thomas Cameron Wills, D.C.

  • Occupational Health Chiropractor
  • N Charleston, SC
National Provider Identifier
1306850193
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health ChiropractorTaxonomy code 111NX0100X
License
2491 Issued in SC
Practice address
8626 Dorchester Rd
101
N Charleston, SC 29420-7328
Phone
(843) 225-7746
Fax
(843) 225-7749
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Chiropractor 111NX0100X 2491 SC Primary

Addresses

Primary practice location

8626 Dorchester Rd
101
N Charleston, SC 29420-7328

Mailing address

4424 Wild Thicket LN
N Charleston, SC 29420-7436
Phone (843) 225-7746

Other identifiers 1

IdentifierTypeStateIssuer
CH2491 GCH462MedicaidSC

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Wellness LLC PastSince Jun 23, 2008 Accepting new patients
Health Physicians, PC Occupational Health PastSince Jan 1, 2004 Accepting new patients
Coastal Pain Care, LLC Past 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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1306850193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4424 WILD THICKET LN",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294207436",
            "telephone_number": "843-225-7746",
            "fax_number": "843-225-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8626 DORCHESTER RD",
            "address_2": "101",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294207328",
            "telephone_number": "843-225-7746",
            "fax_number": "843-225-7749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLS",
        "first_name": "THOMAS",
        "middle_name": "CAMERON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "SC",
            "license": "2491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2491 GCH462",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.