Individual provider Active NPI

Monyka Josephine Lee, DC

  • Chiropractor
  • Johns Island, SC
National Provider Identifier
1760146138
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4725 Issued in SC
Practice address
1803 Crowne Commons Way Ste A1
Johns Island, SC 29455-4929
Phone
(843) 737-6960
NPI assigned
Oct 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4725 SC Primary

Addresses

Primary practice location

1803 Crowne Commons Way Ste A1
Johns Island, SC 29455-4929

Mailing address

1803 Crowne Commons Way Ste A1
Johns Island, SC 29455-4929

Other practice location 1

3417 Shelby Ray Ct Ste C
Charleston, SC 29414-5895
Phone (843) 737-6960

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211229001236 SC Practitioner - Chiropractic 2264823202 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Live for Wellness Johns IslandGroup PAC ID 7214364694, 2 clinicians
Live for Wellness Chiropractic CenterGroup PAC ID 9335399039, 3 clinicians

Practice addresses (Care Compare)

1803 Crowne Commons Way
A1
Johns Island, SC 29455-4885
Phone 84373769602

3417 Shelby Ray CT
Suite C
Charleston, SC 29414-5895
Phone (920) 960-2425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 2

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": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1760146138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 CROWNE COMMONS WAY STE A1",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294554929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 CROWNE COMMONS WAY STE A1",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294554929",
            "telephone_number": "843-737-6960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3417 Shelby Ray Ct Ste C",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294145895",
            "country_code": "US",
            "telephone_number": "843-737-6960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "MONYKA",
        "middle_name": "JOSEPHINE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.