Individual provider Active NPI

Kevin Ashley Morris, DC

  • Chiropractor
  • Kingstree, SC
National Provider Identifier
1619910262
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2644 Issued in SC
Practice address
303 E Main St Ste a
Kingstree, SC 29556-3512
Phone
(843) 355-5131
Fax
(843) 355-5137
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2644 SC Primary

Addresses

Primary practice location

303 E Main St Ste a
Kingstree, SC 29556-3512

Mailing address

722 North Fraser Street
Suit a
Georgetown, SC 29440
Phone (843) 527-4200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040505000052 SC Practitioner - Chiropractic 2769470475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

303 E Main St
Kingstree, SC 29556-3512
Phone (843) 355-5131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Georgetown Chiropractic & Wellness Center LLC Chiropractor CurrentSince Apr 5, 2006 Accepting new patients
Georgetown Chiropractic & Wellness Center Chiropractor Current Accepting new patients

Locations

722 N Fraser St
#A
Georgetown, SC 29440
Phone (843) 527-4200

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1619910262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 NORTH FRASER STREET",
            "address_2": "SUIT A",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "29440",
            "telephone_number": "843-527-4200",
            "fax_number": "843-527-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E MAIN ST STE A",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "295563512",
            "telephone_number": "843-355-5131",
            "fax_number": "843-355-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "KEVIN",
        "middle_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingstree, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.