Individual provider Active NPI

George Andrew Warren, D.C., B.S.

  • Chiropractor
  • Newberry, SC
National Provider Identifier
1881099760
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3991 Issued in SC
Practice address
11489 SC Highway 121
Newberry, SC 29108-9137
Phone
(803) 276-8833
Fax
(803) 276-8837
NPI assigned
Nov 4, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner Chiropractor 111NI0013X 3991 SC
Rehabilitation Chiropractor 111NR0400X 3991 SC
Chiropractor 111N00000X 3991 SC Primary

Addresses

Primary practice location

11489 SC Highway 121
Newberry, SC 29108-9137

Mailing address

11489 SC Highway 121
Newberry, SC 29108-9137
Phone (803) 276-8833

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141222000063 SC Practitioner - Chiropractic 8325361496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11489 SC Hwy 121
Newberry, SC 29108-9137
Phone (803) 276-8833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Drinkall Chiropractic Life Center Inc. Chiropractor CurrentSince Jun 5, 2017 Accepting new patients

Locations

11489 SC Highway 121
Newberry, SC 29108
Phone (803) 276-8833

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": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1881099760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11489 SC HIGHWAY 121",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291089137",
            "telephone_number": "803-276-8833",
            "fax_number": "803-276-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11489 SC HIGHWAY 121",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291089137",
            "telephone_number": "803-276-8833",
            "fax_number": "803-276-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "GEORGE",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.C., B.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "SC",
            "license": "3991",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "SC",
            "license": "3991",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberry, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.