Individual provider Active NPI

Winn P Sams, DC

  • Chiropractor
  • Beaufort, SC
National Provider Identifier
1467673046
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4575 Issued in SC
Practice address
22 Professional Village Cir
Beaufort, SC 29907-1570
Phone
(843) 522-1115
NPI assigned
May 1, 2007
Last updated
May 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3199 NC
Chiropractor 111N00000X 4575 SC Primary

Addresses

Primary practice location

22 Professional Village Cir
Beaufort, SC 29907-1570

Mailing address

22 Professional Village Cir
Beaufort, SC 29907-1570
Phone (843) 522-1115

Other practice location 1

115 Beechwood Dr W
Columbus, NC 28722-6416
Phone (828) 817-4544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201105000097 SC Practitioner - Chiropractic 3577544287 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3199NCMDCounselor
4575SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Beaufort Chiropractic, LLC Chiropractor CurrentSince Sep 30, 2020 Accepting new patients

Locations

1108 Charles St
Unit B
Beaufort, SC 29902
Phone (843) 279-2300

22 Professional Village Cir
Beaufort, SC 29907
Phone (843) 522-1115

Organizations & group practices 1

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1467673046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 PROFESSIONAL VILLAGE CIR",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299071570",
            "telephone_number": "843-522-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 PROFESSIONAL VILLAGE CIR",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299071570",
            "telephone_number": "843-522-1115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Beechwood Dr W",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "NC",
            "postal_code": "287226416",
            "country_code": "US",
            "telephone_number": "828-817-4544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMS",
        "first_name": "WINN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3199",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.

Verify at the official NPI Registry.