Individual provider Active NPI

Scott Buckley, D.C.

  • Chiropractor
  • Gaffney, SC
National Provider Identifier
1780612929
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4556 Issued in SC
Practice address
212 S Granard St
Gaffney, SC 29341-2347
Phone
(864) 487-7194
NPI assigned
Jun 28, 2006
Last updated
Feb 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4556 SC Primary

Addresses

Primary practice location

212 S Granard St
Gaffney, SC 29341-2347

Mailing address

712 S Petty St
Gaffney, SC 29340-2254
Phone (434) 203-9373

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220915003917 SC Practitioner - Chiropractic 6608973813 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

212 S Granard St
Gaffney, SC 29341-2347
Phone (864) 487-7194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4556SCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bedenbaugh Chiropractic Clinic, P.a. Chiropractor CurrentSince Aug 1, 2022 Accepting new patients
Buckley Family Chiropractic, LLC Chiropractor CurrentSince Jan 1, 2025 Accepting new patients

Locations

212 S Granard St
Gaffney, SC 29341
Phone (864) 487-7194

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, 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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1780612929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 S PETTY ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293402254",
            "telephone_number": "434-203-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S GRANARD ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293412347",
            "telephone_number": "864-487-7194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaffney, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.