Jared A Sams, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4200 Issued in SC

Practice address

985 Market St
Ste 201
Fort Mill, SC 29708-6532

Phone

(803) 547-9800

Fax

(803) 547-9804

NPI assigned

Jan 24, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carolina Sports Clinic-Fort Mill,LLCGroup PAC ID 8123336922, 3 clinicians

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.

• Carolina Sports Clinic-Fort Mill,LLC

  • Chiropractor
  • Fort Mill, SC
  • NPI 1144605759
  Medicare reassignment Care Compare group NPD
• Fort Mill Spine and Sports Rehab, LLC

  • Chiropractor
  • Fort Mill, SC
  • NPI 1386434074
  Medicare reassignment NPD
• Acacia Chiropractic Clinic PLLC

  • Chiropractor
  • Fort Mill, SC
  • NPI 1063360675
  NPD Authorized official

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1770020075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 MARKET ST",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086496",
            "telephone_number": "304-206-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 MARKET ST",
            "address_2": "STE 201",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086532",
            "telephone_number": "803-547-9800",
            "fax_number": "803-547-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMS",
        "first_name": "JARED",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSES",
            "identifier": "4200",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rudiko Rusia, MD
• Hannah L Russell, PHARMD
• Brandi Bence Ruth, BCBA
• Kelly Williams Rydell, FNP
• Bailey Sage, RBT
• Jamille Segarra Sanchez, OTR/L
• Julia Sander, LMSW
• Carmen Sanders, RBT
• Justin Sanders
• Sankofa Therapeutic Concepts, LLC

• Chiropractor in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.