Active NPI
Kevin Prime, DC
- Chiropractor
- Lyman, SC
National Provider Identifier
1649689969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4379
- Practice address
- 12 Groce Rd
Lyman, SC 29365-1631 - Phone
- (704) 473-4653
- Fax
- (864) 439-1346
- NPI assigned
- Aug 12, 2014
- Last updated
- Oct 8, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4379 | SC | Primary |
Addresses
Primary practice location
12 Groce Rd
Lyman, SC 29365-1631
Mailing address
12 Groce Rd
Lyman, SC 29365-1631
Phone (864) 439-1345
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12 Groce Rd
Lyman, SC 29365-1631
Phone (864) 439-1345
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Elite Medical Center
- Physical Medicine & Rehabilitation Physician
- Lyman, SC
- NPI 1730727009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791417600000",
"number": "1649689969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 GROCE RD",
"city": "LYMAN",
"state": "SC",
"postal_code": "293651631",
"telephone_number": "864-439-1345",
"fax_number": "864-439-1346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 GROCE RD",
"city": "LYMAN",
"state": "SC",
"postal_code": "293651631",
"telephone_number": "704-473-4653",
"fax_number": "864-439-1346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIME",
"first_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-12",
"last_updated": "2026-10-08",
"certification_date": "2026-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "4379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lyman, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.