Active NPI
Zachary Andrew Edmonds, D.C.
- Chiropractor
- Goose Creek, SC
National Provider Identifier
1326406422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4107
- Practice address
- 5 S Alliance Dr
Suite E
Goose Creek, SC 29445-7174 - Phone
- (843) 572-2224
- Fax
- (843) 572-2274
- NPI assigned
- Feb 3, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4107 | SC | Primary |
Addresses
Primary practice location
5 S Alliance Dr
Suite E
Goose Creek, SC 29445-7174
Mailing address
5 S Alliance Dr
Suite E
Goose Creek, SC 29445-7174
Phone (843) 572-2224
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4107 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Superior Healthcare LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Goose Creek, SC
- NPI 1538402953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454457600000",
"number": "1326406422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 S ALLIANCE DR",
"address_2": "SUITE E",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "294457174",
"telephone_number": "843-572-2224",
"fax_number": "843-572-2274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 S ALLIANCE DR",
"address_2": "SUITE E",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "294457174",
"telephone_number": "843-572-2224",
"fax_number": "843-572-2274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDMONDS",
"first_name": "ZACHARY",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-03",
"last_updated": "2016-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "4107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goose Creek, SC
- Tracy Duncan, PHARMD
- Kimberly Deanne Dupree
- East Cooper Physician Group LLC (Novant Health Orthopedics & Sports Medicine)
- East Cooper Physician Group LLC
- East Cooper Physician Group LLC (Novant Health Orthopedics & Sports Medicine)
- Annalee Elizabeth Rose Edwards, LPN
- Eiram Medical Services LLC
- Omnaya Samir Elhosary
- Empowered Home Health Care LLC
- Empowered Home Health Care LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.