Individual provider Active NPI

Adam Mark Coxon, D.C.

  • Chiropractor
  • Fort Mill, SC
National Provider Identifier
1871731984
Registry record updated Feb 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3419 Issued in SC
Practice address
1012 Market St
Suite 101
Fort Mill, SC 29708-6461
Phone
(803) 370-3631
NPI assigned
Jan 27, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3419 SC Primary
Chiropractor 111N00000X 3920 NC

Addresses

Primary practice location

1012 Market St
Suite 101
Fort Mill, SC 29708-6461

Mailing address

1012 Market St
Suite 101
Fort Mill, SC 29708-6461
Phone (803) 370-4294

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110520000494 SC Practitioner - Chiropractic 5597941849 Practice locations: Fort Mill, SC

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1012 Market St
Suite 101
Fort Mill, SC 29708-6537
Phone (803) 370-4294

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3920NCMDClinical Psychologist
3419SCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Carolina Chiropractic Chiropractor PastSince Jan 12, 2016 Accepting new patients
Coxon Lifestyle Management Clinic, LLC Chiropractor PastSince Mar 1, 2011 Accepting new patients

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, 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": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298246400000",
    "number": "1871731984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 MARKET ST",
            "address_2": "SUITE 101",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086461",
            "telephone_number": "803-370-4294",
            "fax_number": "803-547-1896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 MARKET ST",
            "address_2": "SUITE 101",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086461",
            "telephone_number": "803-370-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COXON",
        "first_name": "ADAM",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-27",
        "last_updated": "2011-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3419",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3920",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2011; 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.