NPIMap

Organization Active NPI

Emmanuel Associates LLC

  • Chiropractor
  • Greenville, SC
National Provider Identifier
1124884986
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
EMMANUEL ASSOCIATES LLC
Practice address
530 Howell Rd Ste 100
Greenville, SC 29615-2000
Phone
(864) 268-8196
Fax
(864) 268-8198
NPI assigned
Feb 27, 2024
Last updated
Mar 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
Dr. Christopher Joseph Kosmicki, DCNPI 1093980286
Title
Owner
Phone
(585) 781-0580

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

530 Howell Rd Ste 100
Greenville, SC 29615-2000

Mailing address

15 Carex CT
Taylors, SC 29687-3865
Phone (585) 781-0580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240606000209 SC Part B Supplier - Clinic/Group Practice 2567904592 Receives reassigned benefits from 3 practitioners
Practice locations: Greenville, SC

National Provider Directory

National Provider Directory

Locations

530 Howell Rd
Ste 100
Greenville, SC 29615
Phone (864) 268-8196

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1124884986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CAREX CT",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296873865",
            "telephone_number": "585-781-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 HOWELL RD STE 100",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296152000",
            "telephone_number": "864-268-8196",
            "fax_number": "864-268-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUEL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "KOSMICKI",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-781-0580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.