Individual provider Active NPI

Robert Charles Wolfington, DC

  • Chiropractor
  • Greenwood, SC
National Provider Identifier
1669185211
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC.4901 Issued in SC
Practice address
2410 Highway 72 221 E
Greenwood, SC 29649-9722
Phone
(864) 223-2236
NPI assigned
Dec 28, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC.4901 SC Primary

Addresses

Primary practice location

2410 Highway 72 221 E
Greenwood, SC 29649-9722

Mailing address

49 Orchard Park Dr Apt 133
Greenville, SC 29615-3523
Phone (231) 645-4407

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230106000798 SC Practitioner - Chiropractic 9436529534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Family Chiropractic LLCGroup PAC ID 6204848690, 4 clinicians

Practice addresses (Care Compare)

2410 Hwy 72 221 E
Greenwood, SC 29649-9722
Phone (864) 223-2236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901SCMDProfessional Counselor
DC.4901SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Active Family Chiropractic LLC Chiropractor CurrentSince Jan 4, 2023 Accepting new patients

Locations

2410 Highway 72 221 E
Greenwood, SC 29649
Phone (864) 223-2236

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1669185211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 ORCHARD PARK DR APT 133",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153523",
            "telephone_number": "231-645-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 HIGHWAY 72 221 E",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296499722",
            "telephone_number": "864-223-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFINGTON",
        "first_name": "ROBERT",
        "middle_name": "CHARLES",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-28",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "DC.4901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.

Verify at the official NPI Registry.