Individual provider Active NPI

Alexandria Mercedes Obernauer, DC

  • Chiropractor
  • Greer, SC
National Provider Identifier
1376258442
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4850 Issued in SC
Practice address
140 Sage Creek Way
Greer, SC 29650-0957
Phone
(865) 848-0640
NPI assigned
Jan 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4850 SC Primary

Addresses

Primary practice location

140 Sage Creek Way
Greer, SC 29650-0957

Mailing address

5 Middlefield CT
Simpsonville, SC 29680-7054
Phone (814) 724-9215

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230323001432 SC Practitioner - Chiropractic 6305210857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Enhanced Living ChiropracticGroup PAC ID 8022155142, 2 clinicians

Practice addresses (Care Compare)

140 Sage Creek Way
Greer, SC 29650-0957
Phone (864) 846-0640

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Enhanced Living Chiropractic Chiropractor CurrentSince Jan 30, 2023 Accepting new patients
Enhanced Living-Simpsonville Chiropractic, LLC Chiropractor CurrentSince Jan 29, 2023 Accepting new patients

Locations

140 Sage Creek Way
Greer, SC 29650
Phone (864) 846-0640

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1376258442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MIDDLEFIELD CT",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296807054",
            "telephone_number": "814-724-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 SAGE CREEK WAY",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296500957",
            "telephone_number": "865-848-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERNAUER",
        "first_name": "ALEXANDRIA",
        "middle_name": "MERCEDES",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.