Active NPI
Jeannine Rummel, D.C.
- Chiropractor
- Myrtle Beach, SC
National Provider Identifier
1437443058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3626
- Practice address
- 404 George Bishop Pkwy
Myrtle Beach, SC 29579-7338 - Phone
- (843) 903-4508
- Fax
- (843) 903-4509
- NPI assigned
- May 31, 2011
- Last updated
- Jun 5, 2013
- 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 | 3626 | SC | Primary |
Addresses
Primary practice location
404 George Bishop Pkwy
Myrtle Beach, SC 29579-7338
Mailing address
4966 Westwind Dr
Myrtle Beach, SC 29579-1807
Phone (843) 903-0512
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4810 N Kings Hwy
Myrtle Beach, SC 29577-2558
4810N Kings Hwy
Myrtle Beach, SC 29577-2558
Phone (843) 692-9243
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3626 | SC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 360 Health Care | Current | Accepting new patients | |
| Rummel Chiropractic Center, LLC | Chiropractor | Past | Accepting new patients |
| Scott J Scafidi DC PA | Chiropractor | Past | Accepting new patients |
Locations
4810 N Kings Hwy
Myrtle Beach, SC 29577
Phone (843) 692-9243
Organizations & group practices 3
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.
-
- Medical Specialty Clinic/Center
- Myrtle Beach, SC
- NPI 1962881268
-
- Chiropractor
- Myrtle Beach, SC
- NPI 1346594355
-
- Chiropractor
- Myrtle Beach, SC
- NPI 1740672187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370390400000",
"number": "1437443058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4966 WESTWIND DR",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295791807",
"telephone_number": "843-903-0512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 GEORGE BISHOP PKWY",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295797338",
"telephone_number": "843-903-4508",
"fax_number": "843-903-4509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUMMEL",
"first_name": "JEANNINE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-31",
"last_updated": "2013-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "3626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.