Awakening Life Chiropractic Upper Cervical Health Center PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

AWAKENING LIFE CHIROPRACTIC UPPER CERVICAL HEALTH CENTER PC

Practice address

420 The Pkwy Ste I-B
Greer, SC 29650-5204

Phone

(864) 416-4485

NPI assigned

May 1, 2023

Last updated

May 1, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anna Marie Spackman

Title

Cfo

Phone

(864) 510-4200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Spackman, DC

  • Chiropractor
  • Greer, SC
  • NPI 1346943057
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1073201687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GOLIGHTLY ST",
            "city": "INMAN",
            "state": "SC",
            "postal_code": "293498474",
            "telephone_number": "864-510-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 THE PKWY STE I-B",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296505204",
            "telephone_number": "864-416-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKENING LIFE CHIROPRACTIC UPPER CERVICAL HEALTH CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "SPACKMAN",
        "authorized_official_first_name": "ANNA MARIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "864-510-4200"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kimberly M Austin
• Gregory L Ayers, DMD
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• Oluwole A. Babatunde, MD
• Jaclyn Weber Babcock, PH.D.
• Joe Babcock, ED.S.

• Chiropractor in Greer, SC
• Providers in Greer, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.