Organization Active NPI

P.S. Chiropractic, Inc

  • Chiropractor
  • Pickens, SC
National Provider Identifier
1396794384
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2297 Issued in SC
Legal business name
P.S. CHIROPRACTIC, INC
Practice address
430 Hampton Ave
Pickens, SC 29671-2608
Phone
(864) 878-8190
Fax
(864) 878-6800
NPI assigned
May 8, 2006
Last updated
Oct 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Authorized official

Name
Dr. Pamela R Avritt, DCNPI 1710022777
Title
President
Phone
(864) 878-8190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2297 SC Primary

Addresses

Primary practice location

430 Hampton Ave
Pickens, SC 29671-2608

Mailing address

430 Hampton Ave
Pickens, SC 29671-2608
Phone (864) 878-8190

Other identifiers 2

IdentifierTypeStateIssuer
350044878OtherSCRR MEDICARE
GCH236MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051207000585 SC Part B Supplier - Clinic/Group Practice 3870514789 Receives reassigned benefits from 1 practitioner
Practice locations: Pickens, SC

National Provider Directory

National Provider Directory

Locations

430 Hampton Ave
Pickens, SC 29671
Phone (684) 878-8190

Practitioners & affiliated clinicians

Practitioners 4

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": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1396794384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 HAMPTON AVE",
            "city": "PICKENS",
            "state": "SC",
            "postal_code": "296712608",
            "telephone_number": "864-878-8190",
            "fax_number": "864-878-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 HAMPTON AVE",
            "city": "PICKENS",
            "state": "SC",
            "postal_code": "296712608",
            "telephone_number": "864-878-8190",
            "fax_number": "864-878-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P.S. CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "AVRITT",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-878-8190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "350044878",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GCH236",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pickens, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.