Individual provider Active NPI

Colin Stuart Mermey, D.C.

  • Chiropractor
  • Spartanburg, SC
National Provider Identifier
1821436759
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3962 Issued in SC
Practice address
201 Henry PL
Spartanburg, SC 29306-3208
Phone
(864) 310-6100
Fax
(864) 302-8298
NPI assigned
Jun 13, 2013
Last updated
Dec 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC010834 PA
Chiropractor 111N00000X 3962 SC Primary
Chiropractor 111N00000X 2014035753 MO

Addresses

Primary practice location

201 Henry PL
Spartanburg, SC 29306-3208

Mailing address

201 Henry PL
Spartanburg, SC 29306-3208
Phone (864) 310-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC010834PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellway Medical PA CurrentSince Jul 9, 2023 Accepting new patients

Locations

2551 Norterre Cir
Liberty, MO 64068
Phone (612) 367-4824

Organizations & group practices 1

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": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1821436759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HENRY PL",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293063208",
            "telephone_number": "864-310-6100",
            "fax_number": "864-302-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HENRY PL",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293063208",
            "telephone_number": "864-310-6100",
            "fax_number": "864-302-8298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERMEY",
        "first_name": "COLIN",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-13",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010834",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3962",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2014035753",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.