NPIMap

Organization Active NPI

Popwell Scota Spine Center

  • Chiropractor
  • Greenville, SC
National Provider Identifier
1407906290
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2592 Issued in SC
Legal business name
POPWELL SCOTA SPINE CENTER
Practice address
107 Pelham Commons Blvd
Greenville, SC 29615-4974
Phone
(864) 244-2220
Fax
(864) 244-9282
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Authorized official

Name
Dr. Lee Popwell, DC
Title
Chiropractic Physician & Partner
Phone
(864) 244-2220

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 2592 SC Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 2926 SC

Addresses

Primary practice location

107 Pelham Commons Blvd
Greenville, SC 29615-4974

Mailing address

107 Pelham Commons Blvd
Greenville, SC 29615-4974
Phone (864) 244-2220

Other identifiers 3

IdentifierTypeStateIssuer
1336118272OtherSCPOPWELL NPI
1780835496OtherSCKENYA NPI#
1780653204OtherSCSCOTA NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040923000908 SC Part B Supplier - Clinic/Group Practice 3577531847 Receives reassigned benefits from 2 practitioners
Practice locations: Greenville, SC

National Provider Directory

National Provider Directory

Locations

107 Pelham Commons Blvd
Greenville, SC 29615
Phone (864) 244-2220

Practitioners & affiliated clinicians

Practitioners 11

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": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1407906290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 PELHAM COMMONS BLVD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154974",
            "telephone_number": "864-244-2220",
            "fax_number": "864-244-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 PELHAM COMMONS BLVD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154974",
            "telephone_number": "864-244-2220",
            "fax_number": "864-244-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPWELL SCOTA SPINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "POPWELL",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN & PARTNER",
        "authorized_official_telephone_number": "864-244-2220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2592",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2926",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "POPWELL NPI",
            "identifier": "1336118272",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENYA NPI#",
            "identifier": "1780835496",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCOTA NPI",
            "identifier": "1780653204",
            "state": "SC"
        }
    ],
    "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 Jan 27, 2010; 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.