Powdersville Wellness, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

POWDERSVILLE WELLNESS, LLC

Practice address

215 Siloam Rd
Easley, SC 29642-8214

Phone

(864) 729-8213

Fax

(864) 729-8559

NPI assigned

Jun 9, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Dean Herman, DCNPI 1598198194

Title

Owner

Phone

(864) 729-8213

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Andrew Dean Herman, D.C.

  • Chiropractor
  • Easley, SC
  • NPI 1598198194
  NPD Authorized official

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1710502455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SILOAM RD",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296428214",
            "telephone_number": "864-729-8213",
            "fax_number": "864-729-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 SILOAM RD",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296428214",
            "telephone_number": "864-729-8213",
            "fax_number": "864-729-8559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWDERSVILLE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-729-8213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Porter, PT
• Tiffany C Porter, RPH
• Suzan R Potter
• Powdersville Pediatric Dentistry, PA
• Powdersville Pharmacy, PA
• Rhett Powell
• Premier Pain Solutions PLLC
• Presbyterian Communities of South Carolina (Presbyterian Communities of SC - Foothills)
• Prevent Child Abuse Pickens County
• Prisma Health University Medical Group (UMG Easley)

• Health Service Clinic/Center in Easley, SC
• Providers in Easley, SC by specialty
• Health Service Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.