JOHNATHAN CHARLES DAVIS D.C.
NPI 1982843025
Chiropractor in Hartsville, SC

Q: What is Johnathan Davis's NPI number?

The NPI number for Johnathan Davis is 1982843025. It was assigned to this individual provider in the NPPES registry on February 12, 2009.

Q: What is Johnathan Davis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Johnathan Davis was last updated on April 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since February 12, 2009Accepts Medicare Assignment

1268 S 4TH ST, HARTSVILLE, SC 29550(843) 332-3422(843) 332-3985 Get Directions Write a Review

NPPES record last updated: April 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Johnathan Charles Davis D.c. NPPES

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

JOHNATHAN CHARLES DAVIS D.C. (NPI 1982843025) is an individual chiropractor in Hartsville, South Carolina, licensed in South Carolina (3418) and active in the NPI registry since February 2009. He maintains a secondary practice location in Latta and is a graduate of Palmer College Chiropractic - Davenport (2008).

NPPES Registry Identity

NPI1982843025

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameJOHNATHAN CHARLES DAVISCredential: D.C.

Location Address1268 S 4TH STHartsville, SC 29550-0703

Mailing AddressPo Box 1090Hartsville, SC 29551-1090 · (843) 857-0111 · Fax (843) 857-0206

Phone(843) 332-3422

Fax(843) 332-3985

Sole ProprietorNo

Medical School CMSPalmer College Chiropractic - DavenportGraduated 2008

Enumeration DateFebruary 12, 2009

Last NPPES UpdateApril 27, 2023

NPPES CertifiedApril 27, 2023

✔ NPI 1982843025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in SC · 3418

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.

1268 S 4TH ST, Hartsville, SC 29550

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Secondary Practice Location 1

Location 1122 Latimer StLatta, SC 29565-1828 · Phone (843) 627-6252

Other Identifiers 1

MedicaidCH3418SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, InStil Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Johnathan Charles Davis D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466501234

PECOS Enrollment IDI20090527000510

Other Providers at the Same Location NPPES 20

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

MRS. ZITA ACUNA ANDRESKI APRN FNP-C

Nurse Practitioner (Family)