GREATER CAROLINA CLINIC OF CHIROPRACTIC INC (NPI# 1356880678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356880678 |
| Entity Type | Organization |
| Organization Name | GREATER CAROLINA CLINIC OF CHIROPRACTIC INC |
| Practice Address |
101 Wildewood Park Dr Suite B Columbia SC 29223-4319 |
| Practice Telephone | 8037887890 |
| Mailing Telephone | 8037887890 |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-03-31 |
| Authorized Official Name | DR. TYELER CHASE BERRY (PRESIDENT) |
| Authorized Official Telephone | 8037887890 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4184 | SC | Chiropractic Providers |
| Street Address |
101 WILDEWOOD PARK DR SUITE B |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29223-4319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639328859 | Shruti J Patel | Dentist | 101 Wildewood Park Dr, Suite A, Columbia, SC 29223-4319 | 2008-09-11 |
| 1659775070 | Carolina Smile Studio Family Dentistry | Clinic/Center | 101 Wildewood Park Dr, Ste A, Columbia, SC 29223-4319 | 2014-10-14 |
| 1821408832 | Tyeler Chase Berry | Chiropractor | 101 Wildewood Park Dr, Suite B, Columbia, SC 29223-4319 | 2014-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619522794 | Timothy Drew Edwards | Dentist | 122 N. Brickyard Rd, Columbia, SC 29223 | 2019-08-06 |
| 1861983249 | Southern Pain Specialists | Physical Medicine & Rehabilitation | 115 Blarney Dr Ste 111, Columbia, SC 29223 | 2018-05-22 |
| 1710481452 | Evans Counseling and Consulting, LLC | Social Worker | 120 Wildewood Park Dr Ste A, Columbia, SC 29223 | 2018-03-19 |
| 1750824819 | Marquita Heyward | Counselor | 1 Winsor Cove Suite 303, Columbia, SC 29223 | 2016-11-22 |
| 1578015509 | Carolina Family Pharmacy, LLC | Pharmacy | 9153 Two Notch Road, Columbia, SC 29223 | 2016-10-25 |
| 1225485170 | Lisa Diaz | Occupational Therapy Assistant | 7601 Parlane Rd, Columbia, SC 29223 | 2016-05-20 |
| 1295199859 | Sarah Ann Riley | Nurse Practitioner | Cvs Pharmacy 121 Clemson Rd., Columbia, SC 29223 | 2016-04-11 |
| 1134583214 | Sara Alisha Pound | Behavioral Analyst | 97b Winterberry Ln, Columbia, SC 29223 | 2016-04-05 |
| 1508227653 | Lucy Elvira Vicioso-harris | Counselor | 1310 Oakcrest Dr Apt 318, Columbia, SC 29223 | 2016-03-17 |
| 1134585243 | Robin Heaton | Occupational Therapy Assistant | 7601 Parklane Road, Columbia, SC 29223 | 2016-01-05 |
| Find all providers in zip 29223 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306470281 | Palmercare Chiropractic Columbia Inc | Chiropractor | 6851 Oak Hall Ln Ste 301, Columbia, MD 21045-5846 | 2020-02-28 |
| 1639700909 | Kylar Sue Mccann | Chiropractor | 4200 Merchant St Ste 105, Columbia, MO 65203-5816 | 2020-01-27 |
| 1447880331 | Alisha Squires | Chiropractor | 2024 Cherry Hill Dr Ste 101, Columbia, MO 65203-5921 | 2020-01-20 |
| 1205476108 | William H. Northern | Chiropractor | 1005 South Main St., Suite A, Columbia, IL 62236-9998 | 2020-01-09 |
| 1285276857 | Unity Chiropractic LLC | Chiropractor | 110 Office Park Dr, Columbia, KY 42728-1380 | 2019-10-15 |
| 1871056846 | John Terrier | Chiropractor | 10630 Little Patuxent Pkwy Ste 329, Columbia, MD 21044-3204 | 2019-04-08 |
| 1417410549 | Matthew Hux | Chiropractor | 1221 Bower Pkwy Ste 108, Columbia, SC 29212-3734 | 2019-04-06 |
| 1841764057 | Nourishing Life Wellness, LLC | Chiropractor | 7300 Grace Dr # 1a, Columbia, MD 21044-2473 | 2019-01-22 |
| 1790259158 | Raquel Heisse | Chiropractor | 1997 Waterfront Dr N Apt E, Columbia, MO 65202-8953 | 2019-01-17 |
| 1548732449 | Midlands Family Chiropractic, LLC | Chiropractor | 6030 Saint Andrews Rd Ste M, Columbia, SC 29212-3164 | 2018-12-18 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.