Individual provider Active NPI

Melvin Eugene Raby, D.C.

  • Chiropractor
  • Laurinburg, NC
National Provider Identifier
1740290493
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2811 Issued in NC
Practice address
501 Westwood Way
Suite a
Laurinburg, NC 28352-3459
Phone
(910) 276-0303
Fax
(910) 276-0388
NPI assigned
Aug 8, 2006
Last updated
Jun 23, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2811 NC Primary

Addresses

Primary practice location

501 Westwood Way
Suite a
Laurinburg, NC 28352-3459

Mailing address

501 Westwood Way
Suite a
Laurinburg, NC 28352-3459
Phone (910) 276-0303

Other identifiers 2

IdentifierTypeStateIssuer
890844YMedicaidNC
CH2811MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041008000795 NC Practitioner - Chiropractic 2062471592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1999
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

110 Village Rd NE
Leland, NC 28451-7412
Phone (910) 371-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2811NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Healthcare Centers PC Chiropractor CurrentSince Sep 20, 2015 Accepting new patients
Southeastern Healthcare Centers PC Chiropractor Current Accepting new patients
Southeastern Healthcare Center PC Chiropractor CurrentSince Sep 20, 2015 Accepting new patients

Locations

110 Village Rd NE
Ste D
Leland, NC 28451
Phone (910) 371-1000

4501 Main St
Ste 2
Shallotte, NC 28470
Phone (910) 754-5678

2595 S 17th St
Wilmington, NC 28401
Phone (910) 392-1252

Organizations & group practices 3

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214179200000",
    "number": "1740290493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 WESTWOOD WAY",
            "address_2": "SUITE A",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283523459",
            "telephone_number": "910-276-0303",
            "fax_number": "910-276-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 WESTWOOD WAY",
            "address_2": "SUITE A",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283523459",
            "telephone_number": "910-276-0303",
            "fax_number": "910-276-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABY",
        "first_name": "MELVIN",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2008-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890844Y",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2811",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurinburg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.