Jonathan Michael Tester, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4255 Issued in SC

Practice address

9428 Ocean Hwy Ste 1
Pawleys Island, SC 29585-8259

Phone

(843) 237-1919

NPI assigned

Jul 31, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coastal Chiropractic Clinic

  • Chiropractor
  • Pawleys Island, SC
  • NPI 1306653746
  NPD Authorized official
• Richard D Lacey, D.C.

  • Chiropractor
  • Pawleys Island, SC
  • NPI 1962450403
  Medicare reassignment
• Lacey Chiropractic Clinic

  • Chiropractor
  • Pawleys Isl, SC
  • NPI 1760663777
  NPD (past)

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1487178562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9428 OCEAN HWY STE 1",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295858259",
            "telephone_number": "843-237-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9428 OCEAN HWY STE 1",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295858259",
            "telephone_number": "843-237-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESTER",
        "first_name": "JONATHAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-31",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Walden MD PA
• Jack Sutcliffe
• Christina Hope Sutherland-King, LPC, LPCS
• Douglas Charles Swartz, M.D.
• Michelle Lynn Szabo, PT, DPT
• Mackenzie Grae Thacker, DPT
• Sara Bratcher Thacker, APRN
• Thekey of South Carolina Beach, LLC
• April Noel Thomas, L.M.T.
• Scott E Thomas, MD, MBA

• Chiropractor in Pawleys Island, SC
• Providers in Pawleys Island, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.