Individual provider Active NPI

William Rufus McGowan II, D.C.

  • Chiropractor
  • Myrtle Beach, SC
National Provider Identifier
1831582188
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4019 Issued in SC
Practice address
4016 River Oaks Dr
Myrtle Beach, SC 29579-6673
Phone
(970) 819-2684
NPI assigned
Mar 11, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4019 SC Primary

Addresses

Primary practice location

4016 River Oaks Dr
Myrtle Beach, SC 29579-6673

Mailing address

4016 River Oaks Dr
Myrtle Beach, SC 29579-6673
Phone (970) 819-2684

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170306002064 NC Practitioner - Chiropractic 7012291321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Ridge Health and Spine, PLLCGroup PAC ID 8921387531, 2 clinicians

Practice addresses (Care Compare)

4911 Bridger Rd
Shallotte, NC 28470-4474
Phone (910) 755-5483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4735NCMDPsychologist
4019SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Health and Spine, PLLC Chiropractor CurrentSince Jan 4, 2017 Accepting new patients
Family First Chiropractic Inc Chiropractor CurrentSince Jan 4, 2017 Accepting new patients

Locations

4911 Bridgers Rd
Shallotte, NC 28470
Phone (910) 755-5483

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": "1426032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1831582188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 RIVER OAKS DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295796673",
            "telephone_number": "970-819-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4016 RIVER OAKS DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295796673",
            "telephone_number": "970-819-2684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOWAN",
        "first_name": "WILLIAM",
        "middle_name": "RUFUS",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.