Organization Active NPI

Greene Chiropractic Clinic

  • Sports Physician Chiropractor
  • Barnwell, SC
National Provider Identifier
1487840138
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
1241 Issued in SC
Legal business name
GREENE CHIROPRACTIC CLINIC
Practice address
366 Fuldner Rd
Barnwell, SC 29812-7352
Phone
(803) 259-9221
Fax
(803) 259-3616
NPI assigned
Sep 17, 2007
Last updated
Sep 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Authorized official

Name
Dr. Joel Curtis Greene Jr., D.C.NPI 1346386802
Title
Chiropractor
Phone
(803) 259-9221

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
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 1241 SC Primary

Addresses

Primary practice location

366 Fuldner Rd
Barnwell, SC 29812-7352

Mailing address

PO Box 693
Barnwell, SC 29812-0693

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120430000611 SC Part B Supplier - Clinic/Group Practice 4981866415 Receives reassigned benefits from 1 practitioner
Practice locations: Barnwell, SC

National Provider Directory

National Provider Directory

Locations

11022 Ellenton St
Barnwell, SC 29812
Phone (803) 259-9221

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1487840138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 693",
            "city": "BARNWELL",
            "state": "SC",
            "postal_code": "298120693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 FULDNER RD",
            "city": "BARNWELL",
            "state": "SC",
            "postal_code": "298127352",
            "telephone_number": "803-259-9221",
            "fax_number": "803-259-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENE CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "CURTIS",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "803-259-9221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "SC",
            "license": "1241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barnwell, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.