Active NPI
Micah Vashaun Turner
- Home Modifications Contractor
- Moncks Corner, SC
National Provider Identifier
1477365724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- License
- 65136
- Practice address
- 121 Roper Cir
Moncks Corner, SC 29461-3636 - Phone
- (843) 214-7907
- NPI assigned
- Jan 23, 2025
- Last updated
- Jan 23, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | 65136 | SC | Primary |
Addresses
Primary practice location
121 Roper Cir
Moncks Corner, SC 29461-3636
Mailing address
121 Roper Cir
Moncks Corner, SC 29461-3636
Phone (843) 214-7907
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65136 | Other | SC | SCLLR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65136 | SC | MD | Home Modifications Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737590400000",
"number": "1477365724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 ROPER CIR",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294613636",
"telephone_number": "843-214-7907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 ROPER CIR",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294613636",
"telephone_number": "843-214-7907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TURNER",
"first_name": "MICAH",
"middle_name": "VASHAUN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-01-23",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "SC",
"license": "65136",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SCLLR",
"identifier": "65136",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Moncks Corner, SC
- Trips Chiropractic (Berry Massage Therapy and Chiropractic Center)
- True Vine Home Care Agency LLC
- Britton Livingston Tucker, PA
- Christopher Anthony Tucker, RN
- Joshua Turner, MS
- Ronald Coleman Turner Jr., M.D.
- Alisha Tyler, LPC-A
- Kelvin Craig Tyler Jr.
- Rodney N. Tyler Jr., OTR/L, CHT
- United Rehab Inc (United Rehab of Moncks Corner)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.