Active NPI
Palmetto Chiropractic Wellness Center LLC
- Chiropractor
- Orangeburg, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2929
- Legal business name
- PALMETTO CHIROPRACTIC WELLNESS CENTER LLC
- Practice address
- 726 Broughton St
Orangeburg, SC 29115-6648 - Phone
- (803) 534-7110
- Fax
- (803) 534-7110
- NPI assigned
- Apr 15, 2008
- Last updated
- Sep 7, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sonya Regina George, DC
- Title
- Chiropractor Owner
- Phone
- (803) 534-7110
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2929 | SC | Primary |
Addresses
Primary practice location
726 Broughton St
Orangeburg, SC 29115-6648
Mailing address
726 Broughton St
Orangeburg, SC 29115-6648
Phone (803) 534-7110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GCH465 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1107 Cook Rd
Orangeburg, SC 29118
Phone (803) 534-7110
726 Broughton St
Orangeburg, SC 29115
Phone (803) 534-7110
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Orangeburg, SC
- NPI 1780692913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630972800000",
"number": "1467626002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "726 BROUGHTON ST",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291156648",
"telephone_number": "803-534-7110",
"fax_number": "803-534-7110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "726 BROUGHTON ST",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291156648",
"telephone_number": "803-534-7110",
"fax_number": "803-534-7110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALMETTO CHIROPRACTIC WELLNESS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-15",
"last_updated": "2021-09-07",
"certification_date": "2021-09-07",
"status": "A",
"authorized_official_last_name": "GEORGE",
"authorized_official_first_name": "SONYA",
"authorized_official_middle_name": "REGINA",
"authorized_official_title_or_position": "CHIROPRACTOR OWNER",
"authorized_official_telephone_number": "803-534-7110",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "2929",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GCH465",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orangeburg, SC
- Linda Lanier Padgett, CRNA
- Lindsay Page
- Jacqueline Bettina Palacino, CPNP-PC
- Toni Palmer-Minson, LISW-CP
- Palmetto Child and Family Counseling Center
- Palmetto Counseling of Orangeburg LLC
- Palmetto Endocrine Associates, Inc.
- Palmetto Health &Wellness/Oasis Skincare (Oasis Skincare ,LLC)
- Palmetto Infectious Disease Physicians
- Palmetto Jolley Acres Operating LLC (Jolley Acres Healthcare Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.