Individual provider Active NPI

Quintez Juwan Hill, DC

  • Chiropractor
  • Summerville, SC
National Provider Identifier
1912641531
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4807 Issued in SC
Practice address
607 W 5TH North St
Summerville, SC 29483-6166
Phone
(843) 873-0011
NPI assigned
Apr 21, 2022
Last updated
May 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4807 SC Primary

Addresses

Primary practice location

607 W 5TH North St
Summerville, SC 29483-6166

Mailing address

325 Marymeade Dr Apt 805
Summerville, SC 29483-5253
Phone (864) 367-5104

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220504000635 SC Practitioner - Chiropractic 8224425608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8 Davis Keats Dr
Greenville, SC 29607-6509
Phone (864) 214-5010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4807SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Innate Holdings LLC Chiropractor CurrentSince Apr 29, 2025 Accepting new patients

Locations

8 Davis Keats Dr
Greenville, SC 29607
Phone (864) 214-5010

607 W 5th North St
Summerville, SC 29483
Phone (843) 873-0011

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1912641531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 MARYMEADE DR APT 805",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294835253",
            "telephone_number": "864-367-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 W 5TH NORTH ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836166",
            "telephone_number": "843-873-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "QUINTEZ",
        "middle_name": "JUWAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.