Carolina Wellness and Health, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3663 Issued in SC

Legal business name

CAROLINA WELLNESS AND HEALTH, LLC

Practice address

1310 Pine Log Rd
Suite B
Aiken, SC 29803-7890

Phone

(803) 226-0217

Fax

(803) 226-0459

NPI assigned

Jan 3, 2012

Last updated

Jan 3, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Philip Russell Jordan, D.C.NPI 1366726861

Title

Doctor/Owner

Phone

(803) 226-0217

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Philip Russell Jordan, D.C.

  • Chiropractor
  • Aiken, SC
  • NPI 1366726861
  Authorized official Same address or phone
• Monica Manigo-Johnson, D.O.

  • Family Medicine Physician
  • Aiken, SC
  • NPI 1841219631
  NPD (past)

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1598035958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 PINE LOG RD",
            "address_2": "SUITE B",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298037890",
            "telephone_number": "803-226-0217",
            "fax_number": "803-226-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 PINE LOG RD",
            "address_2": "SUITE B",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298037890",
            "telephone_number": "803-226-0217",
            "fax_number": "803-226-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA WELLNESS AND HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "803-226-0217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Otolaryngology Institute
• Carolina Pain Management Center
• Carolina Podiatric Medical Associates, P.a.
• Carolina Psychiatric Associates Inc.
• Carolina Radiological Associates, LLC
• Tijuana Davis Carolina
• Alex Caron
• Christine Carr, LMT
• Carriage Hills Living Center, LLC
• Maureen Helen Carrigan, PHD

• Chiropractor in Aiken, SC
• Providers in Aiken, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.