Organization Active NPI

Abbeville Family Healthcare

  • Chiropractor
  • Abbeville, SC
National Provider Identifier
1689865586
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1154 Issued in SC
Legal business name
ABBEVILLE FAMILY HEALTHCARE
Practice address
102 Ellis Ave
Abbeville, SC 29620-2114
Phone
(864) 366-7777
Fax
(864) 366-7778
NPI assigned
Aug 6, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. James Matthew Durham, DCNPI 1447237706
Title
Owner
Phone
(864) 366-7777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1154 SC Primary

Addresses

Primary practice location

102 Ellis Ave
Abbeville, SC 29620-2114

Mailing address

102 Ellis Ave
Abbeville, SC 29620-2114
Phone (864) 366-7777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040921000366 SC Part B Supplier - Clinic/Group Practice 8123096823 Receives reassigned benefits from 1 practitioner
Practice locations: Abbeville, SC

National Provider Directory

National Provider Directory

Locations

102 Ellis Ave
Abbeville, SC 29620
Phone (864) 366-7777

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1689865586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 ELLIS AVE",
            "city": "ABBEVILLE",
            "state": "SC",
            "postal_code": "296202114",
            "telephone_number": "864-366-7777",
            "fax_number": "864-366-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 ELLIS AVE",
            "city": "ABBEVILLE",
            "state": "SC",
            "postal_code": "296202114",
            "telephone_number": "864-366-7777",
            "fax_number": "864-366-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBEVILLE FAMILY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "DURHAM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-366-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abbeville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.