Randall James Conger, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2295 Issued in SC

Practice address

101 Stone Village Drive
Fort Mill, SC 29708-6489

Phone

(803) 802-5322

Fax

(803) 802-5665

NPI assigned

May 31, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tega Cay Chiropractic - Sports Injury Clinic Inc

  • Chiropractor
  • Fort Mill, SC
  • NPI 1871511766
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649471046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 STONE VILLAGE DRIVE",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086489",
            "telephone_number": "803-802-5322",
            "fax_number": "803-802-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 STONE VILLAGE DRIVE",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086489",
            "telephone_number": "803-802-5322",
            "fax_number": "803-802-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONGER",
        "first_name": "RANDALL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2295",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1915",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH1916",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Community Birth Group
• Community Pharmacy of Fort Mill Inc.
• Compass Care LLC
• Compassionate Care, LLC
• Complete Wellness Chiropractic
• Connected Pro, LLC
• Christopher Connelly, DPT
• Marie Connor, RBT
• Carrie Conrad, MCD, CF-SLP
• Consolidated Senior Care

• Chiropractor in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.