Individual provider Active NPI

John P Grant, D.C.

  • Chiropractor
  • Myrtle Beach, SC
National Provider Identifier
1932278801
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2736 Issued in SC
Practice address
1105 48TH Ave N Ste 106
Myrtle Beach, SC 29577-5419
Phone
(843) 497-5197
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2736 SC Primary

Addresses

Primary practice location

1105 48TH Ave N Ste 106
Myrtle Beach, SC 29577-5419

Mailing address

1105 48TH Ave N
Ste 106
Myrtle Beach, SC 29577-5419
Phone (843) 497-5197

Other identifiers 1

IdentifierTypeStateIssuer
CH2736MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100617000827 SC Practitioner - Chiropractic 9638209604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1105 48TH Ave N
Suite 106
Myrtle Beach, SC 29577-5419

1105 48TH N Ave
Suite 106
Myrtle Beach, SC 29577-5419
Phone (843) 497-5197

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2736SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Spine,LLC Chiropractor CurrentSince Aug 22, 2009 Accepting new patients

Locations

1105 48th Ave N
Ste 106
Myrtle Beach, SC 29577
Phone (843) 241-8556

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1932278801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 48TH AVE N",
            "address_2": "STE 106",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775419",
            "telephone_number": "843-497-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 48TH AVE N STE 106",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775419",
            "telephone_number": "843-497-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2736",
            "state": "SC"
        }
    ],
    "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 24, 2019; 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.