Southern Roots Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SOUTHERN ROOTS CHIROPRACTIC

Practice address

323 Village Square Dr
Batesburg Leesville, SC 29070-7055

Phone

(803) 307-0000

NPI assigned

May 26, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Samantha Detore, DCNPI 1720878168

Title

Co-Owner

Phone

(724) 691-5794

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samantha Detore, DC

  • Chiropractor
  • Batesburg Leesville, SC
  • NPI 1720878168
  Medicare reassignment Care Compare group NPD Authorized official
• Brandon Hass, DC

  • Chiropractor
  • Batesburg Leesville, SC
  • NPI 1689467375
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1748217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1487447181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 VILLAGE SQUARE DR",
            "city": "BATESBURG LEESVILLE",
            "state": "SC",
            "postal_code": "290707055",
            "telephone_number": "803-307-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 VILLAGE SQUARE DR",
            "city": "BATESBURG LEESVILLE",
            "state": "SC",
            "postal_code": "290707055",
            "telephone_number": "803-307-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ROOTS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-26",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "DETORE",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "724-691-5794",
        "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": [],
    "other_names": []
}

• Vernica Roberson, MS, NP-C
• Suzanne L Schwab, MD
• Amanda Heller Scott, PA-C
• Ashton Shealy, MSN, RN, CPNP
• Raymond Ralph Skinner, M.D.
• Justin Stanford, D.M.D
• Virginia W Summerall, FNP-BC
• Scott A Thomas, MS, ATC, SCAT, CSCS
• Geng Tian, DMD
• Carrie Rose Trotter, NP

• All providers in Batesburg Leesville, SC
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; 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.