Jimmy L. Smith Jr., DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2653 Issued in SC

Practice address

130 River Landing Dr
Suite 12D
Charleston, SC 29492-7440

Phone

(843) 971-8234

Fax

(843) 971-6406

NPI assigned

Oct 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 2001

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 and National Provider Directory roles.

• Chiroserv Inc

  • Chiropractor
  • Daniel Island, SC
  • NPI 1447658570
  Medicare reassignment NPD Authorized official
• River Landing Chiropractic, Inc

  • Sports Physician Chiropractor
  • Charleston, SC
  • NPI 1407039183
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328140800000",
    "number": "1386731016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 RIVER LANDING DR",
            "address_2": "SUITE 12D",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294927440",
            "telephone_number": "843-971-8234",
            "fax_number": "843-971-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 RIVER LANDING DR",
            "address_2": "SUITE 12D",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294927440",
            "telephone_number": "843-971-8234",
            "fax_number": "843-971-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JIMMY",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2012-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Scott Smith, PHARMD
• James Anderson Smith, M.D.
• Jennifer Elaine Smith, RN
• Jennifer G Smith
• Jennifer V. Smith, M.D.
• John Rhett Smith, CPO
• Joshua P. Smith, PH.D.
• Judith W Smith, RPH
• Karen R Smith, DNP
• Katelyn Nichols Smith, MSP, CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; 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.