Individual provider Active NPI

Nathan Robert Terry I, D.C.

  • Orthopedic Chiropractor
  • Indian Land, SC
National Provider Identifier
1982955936
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
3766 Issued in SC
Practice address
6277 Carolina Commons Dr Ste 500
Indian Land, SC 29707-6006
Phone
(803) 548-6200
Fax
(803) 548-6222
NPI assigned
Sep 29, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X 3766 SC Primary

Addresses

Primary practice location

6277 Carolina Commons Dr Ste 500
Indian Land, SC 29707-6006

Mailing address

4252 Walker Rd
Rock Hill, SC 29730-7990
Phone (618) 292-4832

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130129000012 SC Practitioner - Chiropractic 3779737788 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1028 Edgewater Corporate Pkwy
Suite 102
Indian Land, SC 29707-0187
Phone (618) 292-4832

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3766SCMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Carew, L.L.C. CurrentSince Apr 1, 2013 Accepting new patients
Mark G. Kimble, D.C. PA CurrentSince Jan 1, 2013 Accepting new patients
Dynamic Chiropractic & Spinal Rehab CurrentSince Nov 15, 2015 Accepting new patients

Locations

7453 Irmo Dr
Columbia, SC 29212
Phone (803) 781-4092

1028 Edgewater Corporate Pkwy
Ste 102
Indian Land, SC 29707
Phone (618) 292-4832

518 North Ave
Rock Hill, SC 29732
Phone (803) 327-6155

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1348876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1982955936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4252 WALKER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297307990",
            "telephone_number": "618-292-4832",
            "fax_number": "803-548-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6277 CAROLINA COMMONS DR STE 500",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297076006",
            "telephone_number": "803-548-6200",
            "fax_number": "803-548-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "NATHAN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-29",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "SC",
            "license": "3766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Land, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.