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ADVANCED MEDICAL ASSOCIATES OF SUMMERVILLE
NPI 1790748150
Chiropractor in Summerville, SC

Active since April 07, 2006
1711 N MAIN ST, SUMMERVILLE, SC 29483(843) 875-2268(843) 875-2267 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Advanced Medical Associates Of Summerville NPPES

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

ADVANCED MEDICAL ASSOCIATES OF SUMMERVILLE (NPI 1790748150) is a healthcare organization registered as a chiropractor in Summerville, South Carolina and active in the NPI registry since April 2006. The organization lists Jon Lloyd Etheridge, President, as its authorized official.

NPPES Registry Identity

NPI1790748150
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameADVANCED MEDICAL ASSOCIATES OF SUMMERVILLE
Location Address1711 N MAIN STSummerville, SC 29483-7807
Mailing Address1711 N Main StSummerville, SC 29483-7807 · (843) 875-2268 · Fax (843) 875-2267
Phone(843) 875-2268
Fax(843) 875-2267
Organization SubpartNo
Authorized OfficialJon Lloyd EtheridgePresident · (843) 875-2268
Enumeration DateApril 7, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1790748150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in SC · 1243
Definition

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.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 15987 (SC)
Also ListedPhysical TherapistTaxonomy 225100000X · License 5123 (SC)
1711 N MAIN ST, Summerville, SC 29483
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Other Identifiers 3

MedicaidGP4385SC
Other2015987SC · Cds
MedicaidCH1243SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JON LLOYD ETHERIDGE DC
Chiropractor
1711 N MAIN ST
SUMMERVILLE, SC 29483
Berkeley County (843) 875-2268

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 Advanced Medical Associates Of Summerville's NPI number?

The NPI number for Advanced Medical Associates Of Summerville is 1790748150. It was assigned to this organization in the NPPES registry on April 7, 2006.

Where is Advanced Medical Associates Of Summerville located?

Advanced Medical Associates Of Summerville is located at 1711 N Main St, Summerville, SC 29483. The listed phone number is (843) 875-2268.

What is Advanced Medical Associates Of Summerville's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Advanced Medical Associates Of Summerville was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.