Individual provider Active NPI

Reid McCrea, D.C.

  • Chiropractor
  • North Charleston, SC
National Provider Identifier
1508397639
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4212 Issued in SC
Practice address
2409 Mall Dr
North Charleston, SC 29406-6506
Phone
(843) 410-7201
NPI assigned
Mar 21, 2017
Last updated
Mar 21, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4212 SC Primary

Addresses

Primary practice location

2409 Mall Dr
North Charleston, SC 29406-6506

Mailing address

2409 Mall Dr
North Charleston, SC 29406-6506
Phone (843) 410-7201

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230828002900 NC Practitioner - Chiropractic 6800162520 Receives reassigned benefits from 1 practitioner
Practice locations: Raleigh, NC

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8351 Standonshire Way
Suite 101
Raleigh, NC 27615-2760
Phone (919) 676-6556

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4212SCMDHospice and Palliative Medicine (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reid McCrea Chiropractor CurrentSince Aug 27, 2023 Accepting new patients

Locations

8351 Standonshire Way
Ste 101
Raleigh, NC 27615
Phone (919) 676-6556

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.

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": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1508397639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 MALL DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294066506",
            "telephone_number": "843-410-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 MALL DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294066506",
            "telephone_number": "843-410-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCREA",
        "first_name": "REID",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.