Individual provider Active NPI

Elaine T Jeffers, D.C.

  • Chiropractor
  • Hilton Head Island, SC
National Provider Identifier
1730158296
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2233 Issued in SC
Practice address
14 New Orleans Rd
Suite 4
Hilton Head Island, SC 29928-4777
Phone
(843) 842-7575
Fax
(843) 842-7676
NPI assigned
Mar 16, 2006
Last updated
Sep 29, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2233 SC Primary
Chiropractor 111N00000X 3745 KY
Chiropractor 111N00000X 2022 CO
Chiropractor 111N00000X 968 OH

Addresses

Primary practice location

14 New Orleans Rd
Suite 4
Hilton Head Island, SC 29928-4777

Mailing address

14 New Orleans Rd
Suite 4
Hilton Head Island, SC 29928-4777
Phone (843) 842-7575

Other identifiers 1

IdentifierTypeStateIssuer
CH2233MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090929000656 SC Practitioner - Chiropractic 0840336145 Practice locations: Hilton Head Island, SC

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14 New Orleans Rd
Hilton Head, SC 29928-4777
Phone (843) 842-7575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3745KYMDClinical Social Worker
2022COMDChiropractor
968OHMDChiropractor
2233SCMDMedical Physician Assistant

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, 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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1730158296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 NEW ORLEANS RD",
            "address_2": "SUITE 4",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299284777",
            "telephone_number": "843-842-7575",
            "fax_number": "843-842-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 NEW ORLEANS RD",
            "address_2": "SUITE 4",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299284777",
            "telephone_number": "843-842-7575",
            "fax_number": "843-842-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERS",
        "first_name": "ELAINE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2233",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "3745",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "2022",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "968",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2233",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; 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.