Individual provider Active NPI

Margie Baum Annis, DC

  • Chiropractor
  • Wilmington, NC
National Provider Identifier
1710062955
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1815 Issued in NC
Practice address
5552 Carolina Beach Road
Suite F
Wilmington, NC 28412-2648
Phone
(910) 395-5664
Fax
(910) 395-5625
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1815 NC Primary

Addresses

Primary practice location

5552 Carolina Beach Road
Suite F
Wilmington, NC 28412-2648

Mailing address

5552 Carolina Beach Rd
Suite F
Wilmington, NC 28412-2787
Phone (910) 395-5664

Other identifiers 2

IdentifierTypeStateIssuer
08217OtherNCBCBS
8908217MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120822000007 NC Practitioner - Chiropractic 1052570553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myrtle Grove Chiropractic,PAGroup PAC ID 0446419949, 2 clinicians

Practice addresses (Care Compare)

5552 Carolina Beach Rd
Suite F
Wilmington, NC 28412-2648
Phone (910) 395-5664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1815NCMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Myrtle Grove Chiropractic, PA Chiropractor CurrentSince Feb 1, 1999 Accepting new patients

Locations

5552 Carolina Beach Rd
Ste F
Wilmington, NC 28412
Phone (910) 395-5664

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1710062955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5552 CAROLINA BEACH RD",
            "address_2": "SUITE F",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122787",
            "telephone_number": "910-395-5664",
            "fax_number": "910-395-5625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5552 CAROLINA BEACH ROAD",
            "address_2": "SUITE F",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122648",
            "telephone_number": "910-395-5664",
            "fax_number": "910-395-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANNIS",
        "first_name": "MARGIE",
        "middle_name": "BAUM",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "08217",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8908217",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.