DR. JESSE BEAUMONT (NPI# 1902902455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902902455 |
| Entity Type | Individual |
| Full Name | DR. JESSE BEAUMONT |
| Credential | D.C. |
| Practice Address |
1549 Ebenezer Rd Rock Hill SC 29732-1806 |
| Mailing Address |
130 Rocky Trail Ct Fort Mill SC 29715-6450 |
| Practice Telephone | 8039807190 |
| Practice Fax Number | 8039807191 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2821 | SC | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | CH2821 | 05 | |
| SC | ACN | 666548 | 01 |
| Street Address |
1549 EBENEZER RD |
| City | ROCK HILL |
| State | SC |
| Zip Code | 29732-1806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720049687 | Bentley Chiropractic Wellness Center Inc | Chiropractor | 1549 Ebenezer Rd, Rock Hill, SC 29732 | 2006-03-30 |
| 1689295255 | Straight and Up, LLC | Durable Medical Equipment & Medical Supplies | 1549 Ebenezer Rd, Rock Hill, SC 29732-1806 | 2020-05-05 |
| 1245698547 | Carolina Integrated Medical Solutions, LLC | Internal Medicine | 1549 Ebenezer Rd, Rock Hill, SC 29732-1806 | 2016-02-02 |
| 1871515692 | Mark Alan Bentley | Chiropractor | 1549 Ebenezer Rd, Rock Hill, SC 29732 | 2006-07-24 |
| 1124070321 | Christopher Daniel Haring | Chiropractor | 1549 Ebenezer Rd, Rock Hill, SC 29732-1806 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659471 | Jessie M. Armstrong | Counselor | 199 S Herlong Avenue, Rock Hill, SC 29732 | 2019-10-07 |
| 1215407861 | Alicia Johnson | Occupational Therapist | 2025 Ebenezer Rd Suite H, Rock Hill, SC 29732 | 2018-11-27 |
| 1346716909 | Leslie Marie Metzler | Nurse Practitioner | 125 Amendment Ave, Rock Hill, SC 29732 | 2018-10-22 |
| 1356824668 | Laurie E Grove | Counselor | 508 Bethel Street, Clover, SC 29732 | 2018-09-12 |
| 1366924441 | Chinyere Gill-smith | Occupational Therapist | 2390 127 Murrah Drive, Rock Hill, SC 29732 | 2018-09-05 |
| 1053825513 | Community Medicine Foundation Inc | Clinic/Center | 205 Piedmont Blvd. Suite 100, Catawba Community Mental Health Services York Adult Ser, Rock Hill, SC 29732 | 2017-11-20 |
| 1952824906 | Miriam George-norman | Occupational Therapist | 831 Mcdow Drive, Rock Hill, SC 29732 | 2017-07-21 |
| 1255854550 | Courtney Costa | Counselor | 199 S. Herlong Avenue, Rock Hill, NC 29732 | 2017-07-19 |
| 1861913022 | Drs Misiek, Farrell, Farrell, Nale, Cook, Kapitan, Mohamed & Franco Pa | Oral & Maxillofacial Surgery | 1761 Ebenezer Road, Rock Hill, SC 29732 | 2017-06-28 |
| 1396275806 | Chrysalis Autism Center, Inc | Assistant Behavior Analyst | 1547 Cherry Rd, Rock Hill, SC 29732 | 2017-06-16 |
| Find all providers in zip 29732 | ||||
| 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 |
|---|---|---|---|---|
| 1366098683 | Jessica S Lee | Chiropractor | 625 Crown Pointe Dr Ste 106, Rock Hill, SC 29730-5192 | 2019-08-13 |
| 1538687496 | Kyle Warren Geer | Chiropractor | 1327 Ebenezer Rd, Rock Hill, SC 29732-2336 | 2017-08-31 |
| 1215306386 | Julie Anna Ekstam | Chiropractor | 550 Calen Ln, Rock Hill, SC 29732-9448 | 2015-09-18 |
| 1700260767 | Chelsea Vallario | Chiropractor | 1661 Celanese Rd, Rock Hill, SC 29732 | 2015-07-18 |
| 1255662706 | 1st Stop Pain Relief Center, LLC | Chiropractor | 1030 Edwards St, Suite 109, Rock Hill, SC 29732-2549 | 2010-01-22 |
| 1194950105 | Clay T Gasparovich | Chiropractor | 2043 Celanese Rd, Rock Hill, SC 29732-1324 | 2009-05-19 |
| 1902044100 | Lueyjo Brandan Lee | Chiropractor | 625 Crown Pointe Dr, Suite 106, Rock Hill, SC 29730-5191 | 2009-01-26 |
| 1770720849 | Nicholas E Barnes | Chiropractor | 9586 Manchester Rd., Rock Hill, MO 63119 | 2009-01-12 |
| 1518118223 | Myron David Brown | Chiropractor | 1835 Ebenezer Rd, Rock Hill, SC 29732-1103 | 2008-10-01 |
| 1043476682 | Jeffrey Allen Maxwell | Chiropractor | 237 Sherlong Avenue, Rock Hill, SC 29732 | 2008-08-04 |
| Find all providers in ROCK HILL | ||||
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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.