Evergreen Family Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

EVERGREEN FAMILY CHIROPRACTIC, LLC

Practice address

14 E Butler Rd
Mauldin, SC 29662-2402

Phone

(864) 297-6270

Fax

(864) 509-9378

NPI assigned

Jul 10, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Carolyn M Desimone, DC

Title

Chiropractor/Owner

Phone

(864) 297-6270

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 2

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

• Carolyn Desimone Longacre, DC

  • Chiropractor
  • Greenville, SC
  • NPI 1790123461
  Medicare reassignment NPD
• Amber Joan Ayers, DC

  • Chiropractor
  • Greenville, SC
  • NPI 1467392266
  NPD (past)

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1639691835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 E BUTLER RD",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622402",
            "telephone_number": "864-297-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 E BUTLER RD",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622402",
            "telephone_number": "864-297-6270",
            "fax_number": "864-509-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DESIMONE",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "864-297-6270",
        "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": []
}

• Alexander Eisenschmied
• Entrusted in Home Care
• Madison Epps
• Elizabeth Estes
• Cori Evans, MA,LPCS
• Evergreen Wellness, LLC
• Families First Family Medicine PC
• Family Dental Health of Mauldin LLC
• Hleb Fedarovich
• Clarisa Ferguson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.