Individual provider Active NPI

Patricia Acevedo, DC

  • Chiropractor
  • Anderson, SC
National Provider Identifier
1427764612
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4916 Issued in SC
Practice address
3501 Clemson Blvd Ste 11
Anderson, SC 29621-1328
Phone
(864) 301-8984
NPI assigned
Jan 30, 2023
Last updated
Jan 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 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 4916 SC Primary

Addresses

Primary practice location

3501 Clemson Blvd Ste 11
Anderson, SC 29621-1328

Mailing address

1119 Roper Mountain Rd
Greenville, SC 29615-4724
Phone (787) 414-5280

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251002003390 SC Practitioner - Chiropractic 6507362043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doyle Chiropractic IncGroup PAC ID 6204062128, 3 clinicians

Practice addresses (Care Compare)

201 Ladean CT
Simpsonville, SC 29680-6795
Phone (864) 881-4221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4916SCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Doyle Chiropractic Inc Chiropractor CurrentSince Sep 10, 2025 Accepting new patients

Locations

201 Ladean Ct
Simpsonville, SC 29680
Phone (864) 641-3183

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1427764612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 ROPER MOUNTAIN RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154724",
            "telephone_number": "787-414-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 CLEMSON BLVD STE 11",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211328",
            "telephone_number": "864-301-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO",
        "first_name": "PATRICIA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.