Individual provider Active NPI

Veronica Patricia Collings, D.C.

  • Chiropractor
  • Surfside Beach, SC
National Provider Identifier
1659335248
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-006355-L Issued in PA
Practice address
1012 16TH Ave N.W.
Ste 128
Surfside Beach, SC 29575-5285
Phone
(610) 564-0861
NPI assigned
Apr 12, 2006
Last updated
Jan 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2679 SC
Chiropractor 111N00000X DC-006355-L PA Primary

Addresses

Primary practice location

1012 16TH Ave N.W.
Ste 128
Surfside Beach, SC 29575-5285

Mailing address

1413 Highway 17 South
# 182
Surfside Beach, SC 29575-6040
Phone (610) 564-0861

Other identifiers 1

IdentifierTypeStateIssuer
791447OtherPABC/BS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201222002822 SC Practitioner - Chiropractic 9739266131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1012 16TH Ave NW
Suite 128
Surfside Beach, SC 29575-5285
Phone (843) 543-1253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-006355-LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Spine and Wellness LLC Chiropractor CurrentSince Oct 24, 2024 Accepting new patients

Locations

120 W Germantown Pike
Ste 210
Plymouth Mtng, PA 19462
Phone (610) 500-4940

Organizations & group practices 2

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": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1659335248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 HIGHWAY 17 SOUTH",
            "address_2": "# 182",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295756040",
            "telephone_number": "610-564-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 16TH AVE N.W.",
            "address_2": "STE 128",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295755285",
            "telephone_number": "610-564-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINGS",
        "first_name": "VERONICA",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2679",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-006355-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "791447",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Surfside Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.