George Jonathan Protz, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2901 Issued in SC

Practice address

3455 Broad St
Loris, SC 29569-3001

Phone

(843) 756-2220

Fax

(843) 756-2221

NPI assigned

Jul 7, 2006

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

Logan College of Chiropractic, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spine Pain Center Surfside LLCGroup PAC ID 7719399005, 2 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.

• Spine Pain Center Surfside LLC

  dba Spine Pain Center Surfside

  • Chiropractor
  • Surfside Beach, SC
  • NPI 1861094955
  Medicare reassignment Care Compare group NPD
• Palmetto Wellness & Injury Center Inc.

  • Chiropractor
  • Florence, SC
  • NPI 1013954551
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780616045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 BROAD ST",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295693001",
            "telephone_number": "843-756-2220",
            "fax_number": "843-756-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 BROAD ST",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295693001",
            "telephone_number": "843-756-2220",
            "fax_number": "843-756-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROTZ",
        "first_name": "GEORGE",
        "middle_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2901",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danatyrone Anthony Peoples
• Christopher L PO, MD
• Powers Pharmacy of Loris Inc (Powers Pharmacy of Loris)
• Caroline Scott Powers, PHARMD, RPH
• Protz Chiropractic, Inc. (Nirenstein Chriopractic Clinic)
• Tracy P. Ray, OD
• Rehabilitating Lives of SC LLC
• Wendy Lee Roy
• Matthew E Rusek, MD
• Debbie Sanchez

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.