Jackson Family Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

JACKSON FAMILY CHIROPRACTIC PC

Practice address

1025 W Carolina Ave
Hartsville, SC 29550-4427

Phone

(843) 332-6151

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Dan JacksonNPI 1245291954

Title

Pres/Ceo

Phone

(843) 332-6151

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Dan Jackson, D.C.

  • Chiropractor
  • Hartsville, SC
  • NPI 1245291954
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1740365535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1127",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295511127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 W CAROLINA AVE",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504427",
            "telephone_number": "843-332-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON FAMILY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "DAN",
        "authorized_official_title_or_position": "PRES/CEO",
        "authorized_official_telephone_number": "843-332-6151",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Hutchinson
• Ies South Carolina LLC
• Irene Rogers Ingram, OTR/L
• Internal Medicine Medical Consultant LLC
• Naveed Iqbal, MD
• Andrew Dan Jackson, D.C.
• Barbara Jackson
• Katrina Nicole Jackson
• Temeka Lashon Jackson, RPSGT, RST
• Marian G. Japitana Bunnell, M.D

• Chiropractor in Hartsville, SC
• Providers in Hartsville, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.