Active NPI
Cody Fehrman, DC
- Chiropractor
- Greenville, SC
National Provider Identifier
1720606874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4717
- Practice address
- 1025 Woodruff Rd Ste A104
Greenville, SC 29607-4133 - Phone
- (740) 630-4350
- NPI assigned
- Jul 6, 2020
- Last updated
- Aug 25, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104557592 | VA | |
| Chiropractor | 111N00000X | 4717 | SC | Primary |
Addresses
Primary practice location
1025 Woodruff Rd Ste A104
Greenville, SC 29607-4133
Mailing address
30 Chosen CT
Greer, SC 29650-2659
Phone (740) 630-4350
Other practice location 1
5069 Waterway Dr
Montclair, VA 22025-1259
Phone (703) 580-8388
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104557592 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resilient Roots Chiro LLC | Chiropractor | Current | Accepting new patients |
| Born 2 Be Healthy Enterprises | Chiropractor | Past | Accepting new patients |
Locations
1025 Woodruff Rd
Ste A104
Greenville, SC 29607
Phone (740) 630-4350
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.
-
- Chiropractor
- Greer, SC
- NPI 1811669260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756080000000",
"number": "1720606874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 CHOSEN CT",
"city": "GREER",
"state": "SC",
"postal_code": "296502659",
"telephone_number": "740-630-4350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 WOODRUFF RD STE A104",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296074133",
"telephone_number": "740-630-4350"
}
],
"practiceLocations": [
{
"address_1": "5069 Waterway Dr",
"address_purpose": "LOCATION",
"city": "Montclair",
"state": "VA",
"postal_code": "220251259",
"country_code": "US",
"telephone_number": "703-580-8388",
"fax_number": "703-580-8628",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FEHRMAN",
"first_name": "CODY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-06",
"last_updated": "2025-08-25",
"certification_date": "2025-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104557592",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "4717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.