Individual provider Active NPI

Christopher Allen Shumate, D.C.

  • Chiropractor
  • Little River, SC
National Provider Identifier
1669716007
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3786 Issued in SC
Practice address
4207 Sea Mountain Hwy
Suite-B
Little River, SC 29566-6843
Phone
(843) 399-8840
Fax
(843) 399-8841
NPI assigned
Nov 26, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3786 SC Primary
Pediatric Chiropractor 111NP0017X 3786 SC

Addresses

Primary practice location

4207 Sea Mountain Hwy
Suite-B
Little River, SC 29566-6843

Mailing address

4207 Sea Mountain Hwy
Suite-B
Little River, SC 29566-6843
Phone (843) 399-8840

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130528000506 SC Practitioner - Chiropractic 3476791773 Practice locations: Little River, SC

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4207 Sea Mountain Hwy
Suite B
Little River, SC 29566-6843

4207 Sea Mountain Hwy B
Little River, SC 29566-6843
Phone (843) 399-8840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3786SCMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1669716007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 SEA MOUNTAIN HWY",
            "address_2": "SUITE-B",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295666843",
            "telephone_number": "843-399-8840",
            "fax_number": "843-399-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 SEA MOUNTAIN HWY",
            "address_2": "SUITE-B",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295666843",
            "telephone_number": "843-399-8840",
            "fax_number": "843-399-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMATE",
        "first_name": "CHRISTOPHER",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3786",
            "primary": true
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "SC",
            "license": "3786",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little River, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.