Princess Chateim Porter-Fowler

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2762 Issued in SC

Practice address

450 E Kennedy St
Spartanburg, SC 29302-1916

Phone

(864) 585-4564

Fax

(864) 585-5614

NPI assigned

Mar 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Healing Place Chiropractic and Wellness, L.L.C.

  • Chiropractor
  • Spartanburg, SC
  • NPI 1316380496
  NPD (past)

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1114986668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3443",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293043443",
            "telephone_number": "864-585-4564",
            "fax_number": "864-585-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E KENNEDY ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021916",
            "telephone_number": "864-585-4564",
            "fax_number": "864-585-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER-FOWLER",
        "first_name": "PRINCESS",
        "middle_name": "CHATEIM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2762",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GCH460",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie B Poole, SLP
• Mack C Poole, MD
• Necia McRee Pope, M.D.
• Sophia Porach, DMD
• Porter Chiropractic Clinic
• Amanda Porter
• Christopher William Porter
• Deborah Porter, M.D.
• Harley Porter, LISW-CP
• James E Porter

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; 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.

Verify at the official NPI Registry.