Individual provider Active NPI

Nichole Parris Brown, D.C.

  • Chiropractor
  • Lyman, SC
National Provider Identifier
1700855988
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2717 Issued in SC
Practice address
12301 Greenville Hwy
Lyman, SC 29365-1515
Phone
(864) 949-9696
Fax
(864) 949-9059
NPI assigned
Mar 17, 2006
Last updated
Nov 30, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2717 SC Primary

Addresses

Primary practice location

12301 Greenville Hwy
Lyman, SC 29365-1515

Mailing address

12301 Greenville Hwy
Lyman, SC 29365-1515
Phone (864) 949-9696

Other identifiers 1

IdentifierTypeStateIssuer
CH2717MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101124000550 SC Practitioner - Chiropractic 0345436721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12301 Greenville Hwy
Lyman, SC 29365-1515
Phone (864) 949-9696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory Brown DC, PC Chiropractor CurrentSince Jan 26, 2016 Accepting new patients
Parris Family Chiropractic Chiropractor CurrentSince Aug 1, 2002 Accepting new patients

Locations

12301 Greenville Hwy
Lyman, SC 29365
Phone (864) 729-3624

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1700855988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 GREENVILLE HWY",
            "city": "LYMAN",
            "state": "SC",
            "postal_code": "293651515",
            "telephone_number": "864-949-9696",
            "fax_number": "864-949-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 GREENVILLE HWY",
            "city": "LYMAN",
            "state": "SC",
            "postal_code": "293651515",
            "telephone_number": "864-949-9696",
            "fax_number": "864-949-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "NICHOLE",
        "middle_name": "PARRIS",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2717",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyman, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.