NPIMap

Organization Active NPI

Tracey W Sellers

  • Clinic/Center
  • Fort Mill, SC
National Provider Identifier
1366678187
Registry record updated Jun 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
3248 Issued in SC
Legal business name
TRACEY W SELLERS
Practice address
111 Clebourne St
Suite 120
Fort Mill, SC 29715-1758
Phone
(803) 746-7313
Fax
(803) 746-7332
NPI assigned
Jun 8, 2009
Last updated
Jun 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2009

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

Authorized official

Name
Tracey Wynne Sellers, D.C.
Title
President
Phone
(803) 746-7313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 3248 SC Primary

Addresses

Primary practice location

111 Clebourne St
Suite 120
Fort Mill, SC 29715-1758

Mailing address

111 Clebourne St
Suite 120
Fort Mill, SC 29715-1758
Phone (803) 746-7313

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244419200000",
    "number": "1366678187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CLEBOURNE ST",
            "address_2": "SUITE 120",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297151758",
            "telephone_number": "803-746-7313",
            "fax_number": "803-746-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CLEBOURNE ST",
            "address_2": "SUITE 120",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297151758",
            "telephone_number": "803-746-7313",
            "fax_number": "803-746-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACEY W SELLERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-08",
        "last_updated": "2009-06-08",
        "status": "A",
        "authorized_official_last_name": "SELLERS",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "WYNNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-746-7313",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "SC",
            "license": "3248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; 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.