Individual provider Active NPI

Jeannine Rummel, D.C.

  • Chiropractor
  • Myrtle Beach, SC
National Provider Identifier
1437443058
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3626 Issued in SC
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, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20130312000332 SC Practitioner - Chiropractic 4385899608 Reassigns benefits to 1 organization

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
360 Health CareGroup PAC ID 4183930795, 2 clinicians

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

LicenseStateTypeSpecialty
3626SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
360 Health Care CurrentSince Jul 6, 2015 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.

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.

Verify at the official NPI Registry.