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Advanced Medical Associates of Summerville

Chiropractor in Summerville, SC · enumerated 2006 · authorized official Jon Etheridge, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790748150

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Registry record

Entity type Organization (Type 2)
Legal business name Advanced Medical Associates of Summerville
Practice address 1711 N Main St, Summerville, SC, 29483
Phone (843) 875-2268
Fax (843) 875-2267
Enumeration date Apr 7, 2006
Last updated in NPPES Mar 7, 2023

Taxonomy & classification

111N00000X Chiropractor Chiropractic Providers · License 1243 (SC) Primary
208D00000X General Practice Physician Allopathic & Osteopathic Physicians · License 15987 (SC) Secondary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 5123 (SC) Secondary

Authorized official

Name Jon Etheridge
Title President
Phone (843) 875-2268

Other identifiers

Identifier Type State Issuer
GP4385 Medicaid SC -
2015987 Other SC CDS
CH1243 Medicaid SC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Advanced Medical Associates of Summerville?
The NPI for Advanced Medical Associates of Summerville is 1790748150, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Advanced Medical Associates of Summerville?
NPPES lists Jon Etheridge (President) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-07.