Active NPI
Jesse Perseghin, D.C.
- Chiropractor
- Mount Pleasant, SC
National Provider Identifier
1972059004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4313
- Practice address
- 1300 Hospital Dr Ste 220
Mount Pleasant, SC 29464-3208 - Phone
- (843) 936-6238
- Fax
- (843) 936-6239
- NPI assigned
- Aug 29, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH11877 | FL | |
| Chiropractor | 111N00000X | 4313 | SC | Primary |
Addresses
Primary practice location
1300 Hospital Dr Ste 220
Mount Pleasant, SC 29464-3208
Mailing address
1300 Hospital Dr Ste 220
Mount Pleasant, SC 29464-3208
Phone (843) 936-6238
Other practice location 1
2447 Mill Creek Ct Ste 1
Tallahassee, FL 32308-8301
Phone (850) 325-6468 ext. 56468
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Springhall Dr
Goose Creek, SC 29445-5336
Phone (843) 302-0920
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH11877 | FL | MD | Chiropractor |
| 4313 | SC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Real Healthcare Clinic LLC | Current | Accepting new patients | |
| Smith Family Chiropractic | Chiropractor | Past | Accepting new patients |
Locations
101 Springhall Dr
Goose Creek, SC 29445
Phone (843) 302-0920
Interoperability endpoints
- jesse.perseghin.1@31845.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Goose Creek, SC
- NPI 1780461442
-
- Chiropractor
- Tallahassee, FL
- NPI 1841744182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576800000000",
"number": "1972059004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 HOSPITAL DR STE 220",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294643208",
"telephone_number": "843-936-6238",
"fax_number": "843-936-6239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 HOSPITAL DR STE 220",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294643208",
"telephone_number": "843-936-6238",
"fax_number": "843-936-6239"
}
],
"practiceLocations": [
{
"address_1": "2447 Mill Creek Ct Ste 1",
"address_purpose": "LOCATION",
"city": "Tallahassee",
"state": "FL",
"postal_code": "323088301",
"country_code": "US",
"telephone_number": "850-325-6468 x56468",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERSEGHIN",
"first_name": "JESSE",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-29",
"last_updated": "2019-12-20",
"certification_date": "2019-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH11877",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "4313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.