Individual provider Active NPI

William Earl Ferguson II, D.C.

  • Chiropractor
  • Greenville, SC
National Provider Identifier
1790194397
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3965 Issued in SC
Practice address
4200 E North St
Suite 6
Greenville, SC 29615-2437
Phone
(864) 316-3743
NPI assigned
Aug 7, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3965 SC Primary

Addresses

Primary practice location

4200 E North St
Suite 6
Greenville, SC 29615-2437

Mailing address

4200 E North St
Greenville, SC 29615-2437
Phone (864) 316-3743

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150409001453 SC Practitioner - Chiropractic 5395063036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1110 Berry Shoals Rd
Greer, SC 29651-7201
Phone (864) 801-3230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3965SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Abner Creek Family and Sports Chiropractic LLC Chiropractor CurrentSince Mar 4, 2015 Accepting new patients
Palmetto Sports and Family Chiropractic Chiropractor CurrentSince Mar 4, 2015 Accepting new patients

Locations

4200 E North St
Ste 6
Greenville, SC 29615
Phone (864) 244-4123

1110 Berry Shoals Rd
Greer, SC 29651
Phone (864) 801-3230

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": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407369600000",
    "number": "1790194397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 E NORTH ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296152437",
            "telephone_number": "864-316-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 E NORTH ST",
            "address_2": "SUITE 6",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296152437",
            "telephone_number": "864-316-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "WILLIAM",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-07",
        "last_updated": "2014-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.