Malori Mattimore, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4837 Issued in SC

Practice address

512 Hayes Park Blvd Ste 102
Johns Island, SC 29455-4962

Phone

(843) 998-7534

NPI assigned

Aug 23, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Modern Chiropractic Health Center Inc

  • Chiropractor
  • Johns Island, SC
  • NPI 1578313094
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1720707805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 HAYES PARK BLVD STE 102",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294554962",
            "telephone_number": "843-998-7534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 HAYES PARK BLVD STE 102",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294554962",
            "telephone_number": "843-998-7534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTIMORE",
        "first_name": "MALORI",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernard Mansheim, MD
• Derek Scott Maroun, O.D.
• C Gregory Martin, MD
• Grace Elizabeth Powell Martz, DPT
• Darlene E Mathis, RPH
• Elizabeth Lambert McLeod, OTR/L
• Vanessa Lee McPherson, MD
• Andrea Sarah Mendelsohn, MD
• Stacy Ann Messersmith, FNP
• Meye Vision Care and Eyeware (Village Optical)

• Chiropractor in Johns Island, SC
• Providers in Johns Island, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.