Active NPI
Michael Scott McKelvey, D.C.
- Sports Physician Chiropractor
- Beaufort, SC
National Provider Identifier
1689676355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 1890
- Practice address
- 1264 Ribaut Rd
Ste. 102
Beaufort, SC 29902-6123 - Phone
- (843) 524-4325
- Fax
- (843) 524-2885
- NPI assigned
- Aug 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 1890 | SC | Primary |
Addresses
Primary practice location
1264 Ribaut Rd
Ste. 102
Beaufort, SC 29902-6123
Mailing address
1264 Ribaut Rd
Ste. 102
Beaufort, SC 29902-6123
Phone (843) 524-4325
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350056792 | Other | SC | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1988
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1264 Ribaut Rd
Suite 102
Beaufort, SC 29902-6168
Phone (843) 524-4325
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1890 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimal Health Chiropractic Inc. | Sports Physician | Current | Accepting new patients |
Locations
1264 Ribaut Rd
Ste 102
Beaufort, SC 29902
Phone (843) 524-4325
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": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228262400000",
"number": "1689676355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1264 RIBAUT RD",
"address_2": "STE. 102",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299026123",
"telephone_number": "843-524-4325",
"fax_number": "843-524-2885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1264 RIBAUT RD",
"address_2": "STE. 102",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299026123",
"telephone_number": "843-524-4325",
"fax_number": "843-524-2885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKELVEY",
"first_name": "MICHAEL",
"middle_name": "SCOTT",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2008-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "SC",
"license": "1890",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "350056792",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaufort, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.