Greenville Spine Institute, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3604 Issued in SC

Legal business name

GREENVILLE SPINE INSTITUTE, LLC

Practice address

1190 Haywood Rd Ste B
Greenville, SC 29615-2282

Phone

(864) 631-1420

Fax

(864) 631-1459

NPI assigned

Jun 27, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Parker Lewis, D.C.NPI 1518253574

Title

Managing Member

Phone

(864) 631-1420

Specialties & licenses 1

Addresses

Other names 1

• LIFESPAN Chiropractic Centers, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 4

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

• Kevin Parker Lewis, D.C.

  • Chiropractor
  • Greenville, SC
  • NPI 1518253574
  Medicare reassignment NPD Authorized official
• Megan Grady, DC

  • Independent Medical Examiner Chiropractor
  • Greenville, SC
  • NPI 1205433406
  NPD
• Bernardo Eric Perkinson, DC

  • Chiropractor
  • Simpsonville, SC
  • NPI 1659008043
  NPD (past)
• Brooke Aronson, DC

  • Chiropractor
  • Raleigh, NC
  • NPI 1194307793
  NPD (past)

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1497041529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 HAYWOOD RD STE B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296152282",
            "telephone_number": "864-631-1420",
            "fax_number": "864-631-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 HAYWOOD RD STE B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296152282",
            "telephone_number": "864-631-1420",
            "fax_number": "864-631-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE SPINE INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-27",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "PARKER",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "864-631-1420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFESPAN Chiropractic Centers, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Greenville Rheumatology & Allergy
• Greenville RX LLC
• Greenville Skilled Nursing, LLC
• Greenville Smiles P.a.
• Greenville Spine and Sport
• Greenville Surgery Center Limited Partnership
• Greenville Surgery Center LP
• Greenville Therapy Center PA
• Greenville Transitions Recovery Center, LLC
• Greenville Urology, PA

• Chiropractor in Greenville, SC
• Providers in Greenville, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.