Individual provider Active NPI

Jerry D Nashman, DC

  • Chiropractor
  • Aiken, SC
National Provider Identifier
1891072203
Registry record updated Oct 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01570 Issued in MD
Practice address
186 Fabian Dr
Aiken, SC 29803-2553
Phone
(803) 649-4747
Fax
(803) 649-9719
NPI assigned
Nov 14, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01570 MD Primary

Addresses

Primary practice location

186 Fabian Dr
Aiken, SC 29803-2553

Mailing address

9431 Coppertop Loop NE
Unit 204
Bainbridge Island, WA 98110-3684
Phone (206) 842-6655

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171030002771 WA Practitioner - Chiropractic 3476720434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9431 Coppertop Loop NE
Unit 204
Bainbridge Island, WA 98110-3684
Phone (206) 842-6655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
2469ALMDMental Health Counselor
3675SCMDPhysical Therapist
01570MDMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Island Health and Chiropractic, LLC Chiropractor CurrentSince Nov 1, 2017 Accepting new patients
Health Star Inc Chiropractor Past Accepting new patients

Locations

9431 Coppertop Loop NE
Unit 204
Bainbridge Island, WA 98110
Phone (206) 842-6655

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": "1321228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508112000000",
    "number": "1891072203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9431 COPPERTOP LOOP NE",
            "address_2": "UNIT 204",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981103684",
            "telephone_number": "206-842-6655",
            "fax_number": "206-842-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 FABIAN DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298032553",
            "telephone_number": "803-649-4747",
            "fax_number": "803-649-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASHMAN",
        "first_name": "JERRY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-14",
        "last_updated": "2017-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "01570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; 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.