Darrell Mitchell Davis, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2070 Issued in SC

Practice address

501 South Harper Street
Laurens, SC 29360

Phone

(864) 984-6731

Fax

(864) 983-1278

NPI assigned

Oct 5, 2006

Last updated

Jun 1, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bennett Chiropractic Clinic, LLC

  • Chiropractor
  • Laurens, SC
  • NPI 1699923110
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243814400000",
    "number": "1376639252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 SOUTH HARPER STREET",
            "address_2": "P.O. BOX 123",
            "city": "LAURENS",
            "state": "SC",
            "postal_code": "29360",
            "telephone_number": "864-984-6731",
            "fax_number": "864-983-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SOUTH HARPER STREET",
            "city": "LAURENS",
            "state": "SC",
            "postal_code": "29360",
            "telephone_number": "864-984-6731",
            "fax_number": "864-983-1278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DARRELL",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2009-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2070",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Crow, DMD
• Ashley Cruz
• Carrie Abigail Culbertson
• Theresa A Curtis, RPT
• Amanda Webb Davis
• Fareign Kira Davis, M.S. CF-SLP
• Randy Davis
• Trishia Lynn Davis, FNP-C
• Dean B Youmans (Laurens Drug Company)
• Dial Sullivan Health Specialists, LLC

• Chiropractor in Laurens, SC
• Providers in Laurens, 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 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.