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DR. DONIVOL TARRELL BLUE D.C.
NPI 1275807471
Chiropractor - Thermography in Conway, SC

Active since March 06, 2012PECOS Enrolled
1311 13TH AVE UNIT C, CONWAY, SC 29526(843) 369-1831(843) 369-1832 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 17, 2023, Aug 25, 2021, Apr 3, 2019 (3 updates tracked since 2019).

About Dr. Donivol Tarrell Blue D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DONIVOL TARRELL BLUE D.C. (NPI 1275807471) is an individual thermography provider in Conway, South Carolina, licensed in South Carolina (4120) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS and is a graduate of Life Chiropractic College (2011).

NPPES Registry Identity

NPI1275807471
Entity TypeIndividualMale
Primary Taxonomy111NT0100X
Provider Legal NameDR. DONIVOL TARRELL BLUECredential: D.C.
Location Address1311 13TH AVE UNIT CConway, SC 29526-3668
Mailing Address1311 13th Ave Unit CConway, SC 29526-3668 · (843) 369-1831 · Fax (843) 369-1832
Phone(843) 369-1831
Fax(843) 369-1832
Sole ProprietorYes
Medical School CMSLife Chiropractic CollegeGraduated 2011
Enumeration DateMarch 6, 2012
Last NPPES UpdateOctober 17, 20233 updates tracked since enumeration
NPPES CertifiedOctober 17, 2023
✔ NPI 1275807471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · ThermographyChiropractic Providers
Taxonomy Code111NT0100X
License✔ Licensed in SC · 4120
Definition
The National Uniform Claim Committee (NUCC) recommends code 111NT0100X not be used. Choose a more appropriate code.
1311 13TH AVE UNIT C, Conway, SC 29526
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Donivol Tarrell Blue D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860456886
PECOS Enrollment IDI20190422001746
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
330 services27 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donivol Blue's NPI number?

The NPI number for Donivol Blue is 1275807471. It was assigned to this individual provider in the NPPES registry on March 6, 2012.

Where is Donivol Blue located?

Donivol Blue practices at 1311 13th Ave Unit C, Conway, SC 29526. The listed phone number is (843) 369-1831.

What is Donivol Blue's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Thermography, with taxonomy code 111NT0100X.

Is Donivol Blue enrolled in Medicare?

Yes. Donivol Blue is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Donivol Blue was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.