Individual provider Active NPI

Kimberly Ehlich-McDowell, DC

  • Chiropractor
  • Geffney, SC
National Provider Identifier
1871506568
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1207 Issued in SC
Practice address
717 Chesnee Hwy
Geffney, SC 29341
Phone
(864) 489-0008
Fax
(864) 489-8008
NPI assigned
Aug 14, 2006
Last updated
Aug 22, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1207 SC Primary

Addresses

Primary practice location

717 Chesnee Hwy
Geffney, SC 29341

Mailing address

717 Chesnee Hwy
Geffney, SC 29341
Phone (864) 489-0008

Other identifiers 1

IdentifierTypeStateIssuer
CH1207MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040120000794 SC Practitioner - Chiropractic 4880595925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

717 Chesnee Hwy
Gaffney, SC 29341-2749
Phone (864) 489-0008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1207SCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Ehlich Family Chiropractic Chiropractor CurrentSince Oct 20, 2006 Accepting new patients

Locations

717 Chesnee Hwy
Gaffney, SC 29341
Phone (864) 489-0008

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219363200000",
    "number": "1871506568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 CHESNEE HWY",
            "city": "GEFFNEY",
            "state": "SC",
            "postal_code": "29341",
            "telephone_number": "864-489-0008",
            "fax_number": "864-489-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 CHESNEE HWY",
            "city": "GEFFNEY",
            "state": "SC",
            "postal_code": "29341",
            "telephone_number": "864-489-0008",
            "fax_number": "864-489-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHLICH-MCDOWELL",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2008-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH1207",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Geffney, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; 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.