Active NPI
Nick G. Colias, L.AC.
- Acupuncturist
- Myrtle Beach, SC
National Provider Identifier
1912165127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 04
- Practice address
- 407 79TH Ave N
Myrtle Beach, SC 29572-4310 - Phone
- (843) 902-9217
- NPI assigned
- May 26, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 04 | SC | Primary |
Addresses
Primary practice location
407 79TH Ave N
Myrtle Beach, SC 29572-4310
Mailing address
PO Box 1402
North Myrtle Beach, SC 29598-1402
Phone (843) 902-9217
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04 | SC | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211760000000",
"number": "1912165127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1402",
"city": "NORTH MYRTLE BEACH",
"state": "SC",
"postal_code": "295981402",
"telephone_number": "843-902-9217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 79TH AVE N",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295724310",
"telephone_number": "843-902-9217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLIAS",
"first_name": "NICK",
"middle_name": "G.",
"name_prefix": "Mr.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-26",
"last_updated": "2008-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "SC",
"license": "04",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.