Organization Active NPI

Palmetto Chiropractic Plus

  • Chiropractor
  • Gaffney, SC
National Provider Identifier
1912101965
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2547 Issued in SC
Legal business name
PALMETTO CHIROPRACTIC PLUS
Practice address
428 Hyatt Street Ste B
Gaffney, SC 29341
Phone
(864) 488-1050
Fax
(864) 488-2297
NPI assigned
Jun 13, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Victor Ross Locklear, D.C.NPI 1699733360
Title
Doctor
Phone
(864) 488-1050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2547 SC Primary

Addresses

Primary practice location

428 Hyatt Street Ste B
Gaffney, SC 29341

Mailing address

428 Hyatt Street Ste B
Gaffney, SC 29341
Phone (864) 488-1050

Other identifiers 1

IdentifierTypeStateIssuer
CH2547MedicaidSC

National Provider Directory

National Provider Directory

Locations

428 Hyatt St
Ste B
Gaffney, SC 29341
Phone (864) 488-1050

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912101965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 HYATT STREET STE B",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "29341",
            "telephone_number": "864-488-1050",
            "fax_number": "864-488-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 HYATT STREET STE B",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "29341",
            "telephone_number": "864-488-1050",
            "fax_number": "864-488-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO CHIROPRACTIC PLUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOCKLEAR",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "864-488-1050",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2547",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaffney, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.