Organization Active NPI

Expressed Health Spine and Wellness Center LLC

  • Primary Care Clinic/Center
  • Rock Hill, SC
National Provider Identifier
1285359802
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
EXPRESSED HEALTH SPINE AND WELLNESS CENTER LLC
Practice address
2034 Cherry Rd # 2
Rock Hill, SC 29732-2627
Phone
(803) 804-1923
NPI assigned
Oct 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Authorized official

Name
Dr. Franklin Mi'Kael Kelly, DCNPI 1164146031
Title
Chiropractor
Phone
(803) 804-1923

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2034 Cherry Rd # 2
Rock Hill, SC 29732-2627

Mailing address

910 Coach House CT
Rock Hill, SC 29730-6666
Phone (803) 804-1923

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230322003092 SC Part B Supplier - Clinic/Group Practice 2062886690 Receives reassigned benefits from 1 practitioner
Practice locations: Rock Hill, SC

National Provider Directory

National Provider Directory

Locations

2034 Cherry Rd
#2
Rock Hill, SC 29732
Phone (803) 804-1923

2034 Cherry Rd
Ste 2
Rock Hill, SC 29732

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1285359802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 COACH HOUSE CT",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297306666",
            "telephone_number": "803-804-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034 CHERRY RD # 2",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322627",
            "telephone_number": "803-804-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESSED HEALTH SPINE AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_middle_name": "MI'KAEL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "803-804-1923",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.