Palmetto Wellness and Injury Center of Hartsville SC PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PALMETTO WELLNESS AND INJURY CENTER OF HARTSVILLE SC PA

Practice address

331 S 4TH St
Hartsville, SC 29550-5734

Phone

(843) 332-6191

Fax

(843) 332-4408

NPI assigned

Apr 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. John F Bryan Jr., DCNPI 1982650255

Title

Doctor of Chiropractic

Phone

(843) 332-6191

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John F Bryan Jr., D.C.

  • Chiropractor
  • Hartsville, SC
  • NPI 1982650255
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1669646105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 S 4TH ST",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295505734",
            "telephone_number": "843-332-6191",
            "fax_number": "843-332-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 S 4TH ST",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295505734",
            "telephone_number": "843-332-6191",
            "fax_number": "843-332-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO WELLNESS AND INJURY CENTER OF HARTSVILLE SC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "843-332-6191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GCH605",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2622",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pal Metto Prosthetics and Orthotics, Inc.
• Palmetto Counseling of Hartsville LLC
• Palmetto Family Medicine and Senior Care, LLC
• Palmetto Health - University of South Carolina Medical Group
• Palmetto Pathology
• Nina Panvelker, DMD
• Jonathan Parrott
• Sava Thakorbhai Patel, PA
• Path to Light Counseling LLC
• Patriot Living of Hartsville, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.