Active NPI
Tina Marie Driscoll, D.C.
- Chiropractor
- Spring Lake, NC
National Provider Identifier
1083611040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1830
- Practice address
- 1171 N Bragg Blvd
Spring Lake, NC 28390-3116 - Phone
- (910) 436-5000
- Fax
- (910) 436-7705
- NPI assigned
- Jul 6, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1830 | NC | Primary |
Addresses
Primary practice location
1171 N Bragg Blvd
Spring Lake, NC 28390-3116
Mailing address
508 Glenola St
Fayetteville, NC 28311-3206
Phone (910) 822-3221
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89085GR | Medicaid | NC | |
| 013FC | Other | NC | BCBS PROVIDER NO. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111128000785 | NC | Practitioner - Chiropractic | 6002089380 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1171 N Bragg Blvd
Spring Lake Chiro
Spring Lake, NC 28390-3116
Phone (910) 436-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1830 | NC | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health & Wellness Center, Inc. | Chiropractor | Current | Accepting new patients |
Locations
1171 N Bragg Blvd
Spring Lake, NC 28390
Phone (910) 436-5000
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Spring Lake, NC
- NPI 1013914977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1083611040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 GLENOLA ST",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283113206",
"telephone_number": "910-822-3221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1171 N BRAGG BLVD",
"city": "SPRING LAKE",
"state": "NC",
"postal_code": "283903116",
"telephone_number": "910-436-5000",
"fax_number": "910-436-7705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRISCOLL",
"first_name": "TINA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "1830",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89085GR",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NO.",
"identifier": "013FC",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spring Lake, NC
- Krista Dotten
- Brooklyn Camille Skye Dowe
- Dr David G Dickerhoff DDS & Associates PA
- Dr Roman and Associates
- Dr. Vincent Vissichelli & Associates, D.M.D., P.a.
- Easter Seals Ucp North Carolina & Virginia
- Easter Seals Ucp North Carolina & Virginia
- John Wayne Edwards, NCC, LPC, LMFT, LCAS
- Kelsey Edwards
- Lisa Elliott, ARDMS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.