Individual provider Active NPI

Ronald Paul Collins

  • Chiropractor
  • Hardeeville, SC
National Provider Identifier
1497711725
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1697 Issued in SC
Practice address
300 New River Pkwy
Suite 22
Hardeeville, SC 29927-4547
Phone
(843) 208-3404
Fax
(843) 208-3405
NPI assigned
Apr 25, 2006
Last updated
Aug 11, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1697 SC Primary

Addresses

Primary practice location

300 New River Pkwy
Suite 22
Hardeeville, SC 29927-4547

Mailing address

300 New River Pkwy
Suite 22
Hardeeville, SC 29927-4450
Phone (843) 208-3404

Other identifiers 2

IdentifierTypeStateIssuer
CH1697MedicaidSC
311133277OtherSCBCBS FEDERAL ID

Other names 1

  • Ronald P Collins Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131015001699 SC Practitioner - Chiropractic 8426057340 Practice locations: Hardeeville, SC

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 New River Park Way
Suite 22
Hardeeville, SC 29927-4547

300 New River Pkwy
Suite 22
Hardeeville, SC 29927-4547
Phone (843) 208-3404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hilton Head Chiropractic North LLC Chiropractor Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1497711725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 NEW RIVER PKWY",
            "address_2": "SUITE 22",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299274450",
            "telephone_number": "843-208-3404",
            "fax_number": "843-208-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NEW RIVER PKWY",
            "address_2": "SUITE 22",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299274547",
            "telephone_number": "843-208-3404",
            "fax_number": "843-208-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "RONALD",
        "middle_name": "PAUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH1697",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FEDERAL ID",
            "identifier": "311133277",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RONALD",
            "last_name": "COLLINS",
            "middle_name": "P",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hardeeville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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.