Active NPI
Jerilyn J Lawrence, D.C.
- Chiropractor
- Bluffton, SC
National Provider Identifier
1366498073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2601
- Practice address
- 134 Oak Forest Rd
Bluffton, SC 29910-6148 - Phone
- (843) 304-0757
- NPI assigned
- May 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 2601 | SC | Primary |
Addresses
Primary practice location
134 Oak Forest Rd
Bluffton, SC 29910-6148
Mailing address
134 Oak Forest Rd
Bluffton, SC 29910-6148
Phone (843) 304-0757
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 |
|---|---|---|---|
| 2601 | SC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jerico, LLC | Chiropractor | 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.
-
- Chiropractor
- Bluffton, SC
- NPI 1336446897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492732800000",
"number": "1366498073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 OAK FOREST RD",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299106148",
"telephone_number": "843-304-0757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 OAK FOREST RD",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299106148",
"telephone_number": "843-304-0757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWRENCE",
"first_name": "JERILYN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-25",
"last_updated": "2017-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "2601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bluffton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.