Organization Active NPI

Greater Carolina Clinic of Chiropractic, Inc..

  • Chiropractor
  • Columbia, SC
National Provider Identifier
1366711244
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3399 Issued in SC
Legal business name
GREATER CAROLINA CLINIC OF CHIROPRACTIC, INC..
Practice address
101 Wildewood Park Dr Ste B
Columbia, SC 29223-4319
Phone
(803) 788-7890
Fax
(803) 250-2581
NPI assigned
Dec 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Authorized official

Name
Dr. Patricia Platts Brickey, D.C.
Title
Owner
Phone
803788789080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3399 SC Primary

Addresses

Primary practice location

101 Wildewood Park Dr Ste B
Columbia, SC 29223-4319

Mailing address

101 Wildewood Park Dr., Suite B
Columbia, SC 29223
Phone (803) 788-7890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120221000727 SC Part B Supplier - Clinic/Group Practice 2264690387 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Columbia, SC

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

101 Wildewood Park Dr
Ste B
Columbia, SC 29223
Phone (803) 788-7890

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1366711244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WILDEWOOD PARK DR., SUITE B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29223",
            "telephone_number": "803-788-7890",
            "fax_number": "803-250-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WILDEWOOD PARK DR STE B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292234319",
            "telephone_number": "803-788-7890",
            "fax_number": "803-250-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER CAROLINA CLINIC OF CHIROPRACTIC, INC..",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-21",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "BRICKEY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "PLATTS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803788789080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.