Marcia Lynne Nibert, D.C., LAC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1689 Issued in SC

Practice address

264 Latitude LN Ste 103
Clover, SC 29710-8129

Phone

(803) 746-5700

NPI assigned

May 23, 2005

Last updated

Mar 26, 2020By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Dragonfly Wellness Center, LLC

  dba Dragonfly Wellness Center

  • Chiropractor
  • Clover, SC
  • NPI 1790081875
  NPD Authorized official

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1871596049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 LATITUDE LN STE 103",
            "city": "CLOVER",
            "state": "SC",
            "postal_code": "297108129",
            "telephone_number": "803-746-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 LATITUDE LN STE 103",
            "city": "CLOVER",
            "state": "SC",
            "postal_code": "297108129",
            "telephone_number": "803-746-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIBERT",
        "first_name": "MARCIA",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "D.C., LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1689",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "SC",
            "license": "49",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "U457480281",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lachelle Hendley Moore, DMD
• Catherine Joanna Myrick, D.M.D.
• Ernest Lloyd Myrick Jr., D.M.D.
• New Beginnings Behavioral Health
• Tatum Newbill
• Novant Medical Group, Inc. (Novant Health Family Medicine Associates)
• Simren Patel, PA-C
• Marion Patterson
• Abhinaya Muralidharan Perumbedu
• Jill Ann Pierce, MS, CCC/SLP

• Chiropractor in Clover, SC
• Providers in Clover, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.