NPIMap

Individual provider Active NPI

Christopher Michael Joachim, DO

  • Family Medicine Physician
  • Graniteville, SC
National Provider Identifier
1437644606
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
83702 Issued in SC
Practice address
124 Bettis Academy Rd
Graniteville, SC 29829-3107
Phone
(803) 392-3724
Fax
(803) 234-5593
NPI assigned
Jun 28, 2018
Last updated
Sep 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0116032120 VA
Family Medicine Physician 207Q00000X 83702 SC Primary

Addresses

Primary practice location

124 Bettis Academy Rd
Graniteville, SC 29829-3107

Mailing address

367 S Gulph Rd
Attn Ipm Credentialing
King of Prussia, PA 19406-3121
Phone (803) 392-3724

Other identifiers 1

IdentifierTypeStateIssuer
837027MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210810002959 SC Practitioner - Family Practice 0446654628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lincoln Memorial University Medical Department, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

124 Bettis Academy Rd
Graniteville, SC 29829-3107
Phone (803) 392-3724

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0116032120VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aiken Professional Association LLC Family Medicine CurrentSince Jul 19, 2021 Accepting new patients
Aiken Professional Association, LLC Family Medicine CurrentSince Jul 19, 2021 Accepting new patients

Locations

367 S Gulph Rd
Kng of Prussa, PA 19406
Phone (610) 382-4422

137 Miracle Dr
Aiken, SC 29801
Phone (803) 226-0589

124 Bettis Academy Rd
Graniteville, SC 29829
Phone (803) 392-3724

124 Bettis Academy Rd
#124
Graniteville, SC 29829

Organizations & group practices 2

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1437644606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 S GULPH RD",
            "address_2": "ATTN IPM CREDENTIALING",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063121",
            "telephone_number": "803-392-3724",
            "fax_number": "803-234-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 BETTIS ACADEMY RD",
            "city": "GRANITEVILLE",
            "state": "SC",
            "postal_code": "298293107",
            "telephone_number": "803-392-3724",
            "fax_number": "803-234-5593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOACHIM",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-28",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116032120",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "83702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "837027",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Graniteville, SC

Sources for this page

Verify at the official NPI Registry.