Charles a. Fergeson Jr. D.C., P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104 001994 Issued in VA

Legal business name

CHARLES A. FERGESON JR. D.C., P.C.

Practice address

901 Pace Dr
South Hill, VA 23970-1307

Phone

(434) 447-6649

Fax

(434) 447-6649

NPI assigned

Aug 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Charles Arthur Fergeson Jr., D.C.NPI 1780778142

Title

President/Owner

Phone

(434) 447-6649

Specialties & licenses 1

Addresses

Other names 1

• Fergeson Family Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

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

• Charles Arthur Fergeson Jr., D.C.

  • Chiropractor
  • South Hill, VA
  • NPI 1780778142
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1992953269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 PACE DR",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239701307",
            "telephone_number": "434-447-6649",
            "fax_number": "434-447-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 PACE DR",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239701307",
            "telephone_number": "434-447-6649",
            "fax_number": "434-447-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES A. FERGESON JR. D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "FERGESON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "434-447-6649",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104 001994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fergeson Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in South Hill, VA
• Providers in South Hill, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.