Stacy K Gantt, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2391 Issued in SC

Practice address

201 S Dean St
Spartanburg, SC 29302-1986

Phone

(864) 583-3967

Fax

(864) 585-5554

NPI assigned

Jun 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ivey Osullivan Healthcare Services, PAGroup PAC ID 9537326681, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Ivey-Osullivan Healthcare Services, PA

  • Chiropractor
  • Spartanburg, SC
  • NPI 1518180454
  Medicare reassignment Care Compare group NPD
• Garber Physical Therapy

  • Physical Therapy Clinic/Center
  • Spartanburg, SC
  • NPI 1619267234
  NPD (past)
• Healthsource of Cherrydale

  • Chiropractor
  • Greenville, SC
  • NPI 1144492760
  NPD (past)
• Healthsource of Greenville-South

  • Chiropractor
  • Greenville, SC
  • NPI 1235407560
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397606400000",
    "number": "1962448183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S DEAN ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021986",
            "telephone_number": "864-583-3967",
            "fax_number": "864-585-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S DEAN ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021986",
            "telephone_number": "864-583-3967",
            "fax_number": "864-585-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANTT",
        "first_name": "STACY",
        "middle_name": "K",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2014-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2391",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maggie Gainey, PH.D
• Eulander Gallamn, REGISTERED NURSE
• Natalya Galushkin, RN
• Cleumy Mourato Almeida Gama, DO
• Gamble Dentalsmart PC
• Ian Gao, M.D.
• Kyle Garbart, DC
• Garber Physical Therapy
• Kurt Erwin Garber, DPT
• Crystal B Garcia, RPH

• All providers in Spartanburg, SC
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.