Individual provider Active NPI

Danielle Motley-Jennings, D.C

  • Chiropractor
  • Aiken, SC
National Provider Identifier
1689110215
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4196 Issued in SC
Practice address
550 Silver Bluff Rd Ste 200
Aiken, SC 29803-7835
Phone
(864) 303-2679
NPI assigned
Jan 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4196 SC Primary

Addresses

Primary practice location

550 Silver Bluff Rd Ste 200
Aiken, SC 29803-7835

Mailing address

811 Polo Rd Apt 1722
Columbia, SC 29223-4430
Phone (803) 587-1893

Other practice location 1

811 Polo Rd Apt 1722
Columbia, SC 29223-4430
Phone (803) 587-1893

Other identifiers 1

IdentifierTypeStateIssuer
CH4196MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Midlands Neurology & Pain Assoc, P.a Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1689110215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 POLO RD APT 1722",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292234430",
            "telephone_number": "803-587-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SILVER BLUFF RD STE 200",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298037835",
            "telephone_number": "864-303-2679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "811 Polo Rd Apt 1722",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292234430",
            "country_code": "US",
            "telephone_number": "803-587-1893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOTLEY-JENNINGS",
        "first_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-06",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH4196",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.