Individual provider Active NPI

Adam H Cooper, D.C.

  • Chiropractor
  • Fort Mill, SC
National Provider Identifier
1508816927
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2908 Issued in SC
Practice address
8763 Charlotte Hwy
Fort Mill, SC 29715-7589
Phone
(803) 548-8452
NPI assigned
May 10, 2006
Last updated
Mar 6, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2908 SC Primary

Addresses

Primary practice location

8763 Charlotte Hwy
Fort Mill, SC 29715-7589

Mailing address

8763 Charlotte Hwy
Fort Mill, SC 29707-7589
Phone (803) 845-8452

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040927000849 SC Practitioner - Chiropractic 4981673969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8763 Charlotte Hwy
Fort Mill, SC 29707-7589
Phone (803) 548-8452

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Cooper Enterprise Chiropractor CurrentSince Jan 1, 2008 Accepting new patients
Southern States Physical Medicine and Rehabilitation Center Chiropractor PastSince Oct 24, 2002 Accepting new patients
Southern States Physical Therapy LLC Past Accepting new patients

Locations

8763 Charlotte Hwy
Indian Land, SC 29707
Phone (803) 286-4604

Organizations & group practices 3

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1508816927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8763 CHARLOTTE HWY",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297077589",
            "telephone_number": "803-845-8452",
            "fax_number": "803-802-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8763 CHARLOTTE HWY",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297157589",
            "telephone_number": "803-548-8452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "ADAM",
        "middle_name": "H",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.