Individual provider Active NPI

Jim A Troxell, DC

  • Sports Physician Chiropractor
  • North Myrtle Beach, SC
National Provider Identifier
1649350356
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
988 Issued in SC
Practice address
802 13TH Avenue South
North Myrtle Beach, SC 29582-3816
Phone
(843) 272-1717
Fax
(843) 272-4338
NPI assigned
Oct 17, 2006
Last updated
May 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 988 SC Primary

Addresses

Primary practice location

802 13TH Avenue South
North Myrtle Beach, SC 29582-3816

Mailing address

802 13TH Avenue South
North Myrtle Beach, SC 29582-3816
Phone (843) 272-1717

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120516000425 SC Practitioner - Chiropractic 6608039300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1415 Hwy 17 S
North Myrtle Beach, SC 29582-3803
Phone (843) 727-1717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
988SCMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Jim a Troxell PA Sports Physician CurrentSince Mar 26, 2012 Accepting new patients

Locations

1415 Highway 17 S
North Myrtle Beach, SC 29582
Phone (843) 450-8182

802 13th Ave S
North Myrtle Beach, SC 29582
Phone (803) 272-1717

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1649350356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 13TH AVENUE SOUTH",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823816",
            "telephone_number": "843-272-1717",
            "fax_number": "843-272-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 13TH AVENUE SOUTH",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823816",
            "telephone_number": "843-272-1717",
            "fax_number": "843-272-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROXELL",
        "first_name": "JIM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "SC",
            "license": "988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.