Individual provider Active NPI

Nathan Henry Page, DC

  • Chiropractor
  • Saint George, SC
National Provider Identifier
1952822140
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4245 Issued in SC
Practice address
5502 Memorial Blvd Unit 3
Saint George, SC 29477-2286
Phone
(843) 970-3200
Fax
(843) 353-2406
NPI assigned
Jun 28, 2017
Last updated
Feb 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4245 SC Primary

Addresses

Primary practice location

5502 Memorial Blvd Unit 3
Saint George, SC 29477-2286

Mailing address

PO Box 632
Saint George, SC 29477-0632
Phone (843) 970-3200

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

LicenseStateTypeSpecialty
4245SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
St. George Spine Center LLC Chiropractor CurrentSince May 10, 2020 Accepting new patients
Charleston Counseling Center PC PastSince Nov 15, 2022 Accepting new patients

Locations

5502 Memorial Blvd
Unit 3
Saint George, SC 29477
Phone (843) 970-3200

Organizations & group practices 2

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": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1952822140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632",
            "city": "SAINT GEORGE",
            "state": "SC",
            "postal_code": "294770632",
            "telephone_number": "843-970-3200",
            "fax_number": "843-353-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5502 MEMORIAL BLVD UNIT 3",
            "city": "SAINT GEORGE",
            "state": "SC",
            "postal_code": "294772286",
            "telephone_number": "843-970-3200",
            "fax_number": "843-353-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "NATHAN",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-28",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint George, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.