Individual provider Active NPI

Adam Jay Foster, DC

  • Chiropractor
  • Goose Creek, SC
National Provider Identifier
1902835432
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2544 Issued in SC
Practice address
514 Saint James Ave
Suite D
Goose Creek, SC 29445-2767
Phone
(843) 824-1777
Fax
(843) 824-1779
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 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 2544 SC Primary

Addresses

Primary practice location

514 Saint James Ave
Suite D
Goose Creek, SC 29445-2767

Mailing address

514 Saint James Ave
Suite D
Goose Creek, SC 29445-2767
Phone (843) 824-1777

Other identifiers 1

IdentifierTypeStateIssuer
CH2544MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050317000076 SC Practitioner - Chiropractic 6305891847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

514 Saint James Ave
Unit D
Goose Creek, SC 29445-2767
Phone (843) 824-1777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2544SCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Chiropractic Chiropractor CurrentSince Aug 4, 2004 Accepting new patients
Healthsource of Orangeburg LLC Chiropractor PastSince Nov 13, 2011 Accepting new patients

Locations

514 Saint James Ave
Unit D
Goose Creek, SC 29445
Phone (843) 824-1777

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213920000000",
    "number": "1902835432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 SAINT JAMES AVE",
            "address_2": "SUITE D",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294452767",
            "telephone_number": "843-824-1777",
            "fax_number": "843-824-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 SAINT JAMES AVE",
            "address_2": "SUITE D",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294452767",
            "telephone_number": "843-824-1777",
            "fax_number": "843-824-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "ADAM",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2008-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2544",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goose Creek, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.