Community Chiropractic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

3368 Issued in SC

Legal business name

COMMUNITY CHIROPRACTIC

Practice address

1097 S Pendleton St
Easley, SC 29642-1050

Phone

(864) 859-7900

Fax

(864) 859-7999

NPI assigned

Apr 2, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Miles Mobley, D.C.NPI 1205909009

Title

Owner

Phone

(864) 859-7900

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Miles Mobley, DC

  • Chiropractor
  • Kernersville, NC
  • NPI 1205909009

  SC

  Medicare reassignment NPD Authorized official
• Victoria J Naumann, DC

  • Chiropractor
  • Easley, SC
  • NPI 1831276344
  NPD (past)

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238630400000",
    "number": "1962644179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1097 S PENDLETON ST",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296421050",
            "telephone_number": "864-859-7900",
            "fax_number": "864-859-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1097 S PENDLETON ST",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296421050",
            "telephone_number": "864-859-7900",
            "fax_number": "864-859-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-02",
        "last_updated": "2009-04-02",
        "status": "A",
        "authorized_official_last_name": "MOBLEY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MILES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-859-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "SC",
            "license": "3368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1205909009",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AA32600281",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PTAN",
            "identifier": "P00641082",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Delois Coggin, PA-C
• Jessica Demires Coleman, FNP
• Lynn N Coleman, OT
• Candice Rae Collins, LPN
• Ross Alan Collins
• Community Chiropractic
• Garnett Conaway, M.ED.
• Conscious Living Chiropractic LLC
• Aimy Caroline Cook, MHS, PT
• Molly Grey Cook

• Clinic/Center in Easley, SC
• Providers in Easley, SC by specialty
• Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.