Jennifer Lynn Perdue, D.C., B.S.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3757 Issued in SC

Practice address

3417 Shelby Ray CT
Charleston, SC 29414-5895

Phone

(920) 960-2425

NPI assigned

Jul 25, 2012

Last updated

Jul 25, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2012

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)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Live for Wellness Chiropractic Center

  • Chiropractor
  • Charleston, SC
  • NPI 1275882995
  Medicare reassignment Care Compare group NPD Authorized official
• Live for Wellness Johns Island

  • Chiropractor
  • Johns Island, SC
  • NPI 1689216863
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1790031961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 WILLOWBEND LN",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858446",
            "telephone_number": "920-960-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 SHELBY RAY CT",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145895",
            "telephone_number": "920-960-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERDUE",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "D.C., B.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-25",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carley Peplowski, RN
• Gabriella Elyse Perales, RBT
• Alvina Peralta, PT, DPT
• Cynthia Percy
• Ashley Dawn Perdue, MD
• Nicaela Grace Perea
• Silvia Pereira-Smith, M.D.
• Andrea Pereira, M.D.
• Kaitlyn Marie Pereira, MD
• Matheus Prado Pereira, MD

• Chiropractor in Charleston, SC
• Providers in Charleston, 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 25, 2012; 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.