Addison Blake Nelson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3763 Issued in SC

Practice address

722 N Fraser St Ste a
Georgetown, SC 29440-3353

Phone

(843) 527-4200

Fax

(843) 527-4222

NPI assigned

Aug 15, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chiroserv Inc

  • Chiropractor
  • Daniel Island, SC
  • NPI 1447658570
  Medicare reassignment NPD

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1912255498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 N FRASER ST STE A",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294403353",
            "telephone_number": "843-527-4200",
            "fax_number": "843-527-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 N FRASER ST STE A",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294403353",
            "telephone_number": "843-527-4200",
            "fax_number": "843-527-4222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "874 Whipple Rd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294648900",
            "country_code": "US",
            "telephone_number": "813-928-1690",
            "fax_number": "843-636-5689",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2504 Highmarket St",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "SC",
            "postal_code": "294402910",
            "country_code": "US",
            "telephone_number": "843-546-3020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ADDISON",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-15",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent John Murray, DDS
• Melissa A Muse, EDD, LPC, LPC-S
• Susan Myers
• Michelle West Nagro, OD
• National Vision, Inc.
• Eskinder Ketema Nesrane
• Anna Newell
• Danielle Marie Newton
• Danh Nguyen, FNP
• Lananh Nguyen, M.D.

• Chiropractor in Georgetown, SC
• Providers in Georgetown, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.