Augusta Street Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1108 Issued in SC

Legal business name

AUGUSTA STREET CLINIC LLC

Doing business as

Augusta Street Clinic

Practice address

1521 Augusta St
Greenville, SC 29605-2921

Phone

(864) 232-0082

Fax

(864) 232-1884

NPI assigned

Sep 7, 2005

Last updated

Jun 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roger Steven JaynesNPI 1912060948

Title

Owner

Phone

(864) 232-0082

Specialties & licenses 1

Addresses

Other names 1

• Augusta Street Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roger Stephen Jaynes, DC

  • Chiropractor
  • Greenville, SC
  • NPI 1912060948
  Authorized official Same address or phone

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1336133313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 AUGUSTA ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296052921",
            "telephone_number": "864-232-0082",
            "fax_number": "864-232-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 AUGUSTA ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296052921",
            "telephone_number": "864-232-0082",
            "fax_number": "864-232-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA STREET CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "JAYNES",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-232-0082"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Augusta Street Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric Aufdencamp, L. AC.
• Bridgette Lynne Aufmuth, MS
• Auger Family Chiropractic, PC (Chiropractic USA)
• George A Auger, DC
• Jessica Gayle Augeri, MSN, APRN, FNP-C
• Augusta Street Dental Associates, P.a.
• Rachel Augustin, DPT
• Rebecca Sue Aukamp, PAAA
• Aura Vision and Optical LLC (Aura Vision)
• Nishari Austen

• Chiropractor in Greenville, SC
• Providers in Greenville, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.