Organization Active NPI

Southeast Integrative Health, PLLC

  • Chiropractor
  • Forest City, NC
National Provider Identifier
1467089706
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SOUTHEAST INTEGRATIVE HEALTH, PLLC
Practice address
118 Allendale Dr
Forest City, NC 28043-2874
Phone
(828) 382-8005
NPI assigned
Mar 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Authorized official

Name
Dr. Jill Evans, DCNPI 1235766551
Title
Owner
Phone
(828) 382-8005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

118 Allendale Dr
Forest City, NC 28043-2874

Mailing address

118 Allendale Dr
Forest City, NC 28043-2874

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL drjill@seintegrativehealth.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200420000145 NC Part B Supplier - Clinic/Group Practice 0446680250 Receives reassigned benefits from 1 practitioner
Practice locations: Forest City, NC

National Provider Directory

National Provider Directory

Locations

118 Allendale Dr
Forest City, NC 28043
Phone (828) 374-0904

Practitioners & affiliated clinicians

Practitioners 1

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": "1585180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1467089706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 ALLENDALE DR",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280432874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 ALLENDALE DR",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280432874",
            "telephone_number": "828-382-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST INTEGRATIVE HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-26",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-382-8005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "drjill@seintegrativehealth.com",
            "affiliation": "N",
            "address_1": "118 Allendale Dr",
            "city": "Forest City",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280432874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Forest City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.