Individual provider Active NPI

Alexis Cerra Robinson, DC

  • Chiropractor
  • Greer, SC
National Provider Identifier
1427671122
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4554 Issued in SC
Practice address
140 Sage Creek Way
Greer, SC 29650-0957
Phone
(864) 848-0640
NPI assigned
May 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4554 SC Primary

Addresses

Primary practice location

140 Sage Creek Way
Greer, SC 29650-0957

Mailing address

140 Sage Creek Way
Greer, SC 29650-0957
Phone (864) 848-0640

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200610000181 SC Practitioner - Chiropractic 8527489012 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foundation Family Chiropractic, LLCGroup PAC ID 8921366394, 4 clinicians
Foundation Family Chiropractic SC LLCGroup PAC ID 8628517935, 2 clinicians

Practice addresses (Care Compare)

455 Old Trolley Rd
Suite a
Summerville, SC 29485-5669
Phone (843) 851-2417

617 Myers Rd
Suite G
Summerville, SC 29486-8902
Phone (843) 851-2417

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4554SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Family Chiropractic SC, LLC Chiropractor CurrentSince Jun 10, 2024 Accepting new patients
Foundation Family Chiropractic, LLC Chiropractor CurrentSince Feb 12, 2024 Accepting new patients

Locations

617 Myers Rd
Ste G
Summerville, SC 29486
Phone (843) 851-2417

455 Old Trolley Rd
Ste A
Summerville, SC 29485
Phone (843) 851-2417

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": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1427671122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 SAGE CREEK WAY",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296500957",
            "telephone_number": "864-848-0640",
            "fax_number": "864-848-0646"
        },
        {
            "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": "864-848-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "ALEXIS",
        "middle_name": "CERRA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4554",
            "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 May 28, 2020; 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.