Active NPI
Alicia L. Watson, D.C.
- Chiropractor
- Spartanburg, SC
National Provider Identifier
1750791273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3909
- Practice address
- 1524 John B White Sr Blvd
Spartanburg, SC 29301-3878 - Phone
- (864) 921-4070
- Fax
- (864) 599-7589
- NPI assigned
- May 6, 2014
- Sex
- Female
- 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 | 3909 | SC | Primary |
Addresses
Primary practice location
1524 John B White Sr Blvd
Spartanburg, SC 29301-3878
Mailing address
227 Rachel Evans Dr
Boiling Springs, SC 29316-8395
Phone (864) 921-4070
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)
1698 Hwy 160 W
Suite 200
Fort Mill, SC 29708-8034
Phone (803) 547-4343
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3909 | SC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Wellness Center | Current | Accepting new patients |
Locations
1698 Highway 160 W
Ste 200
Fort Mill, SC 29708
Phone (803) 547-4343
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Fort Mill, SC
- NPI 1962772764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399334400000",
"number": "1750791273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 RACHEL EVANS DR",
"city": "BOILING SPRINGS",
"state": "SC",
"postal_code": "293168395",
"telephone_number": "864-921-4070",
"fax_number": "864-599-7589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1524 JOHN B WHITE SR BLVD",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293013878",
"telephone_number": "864-921-4070",
"fax_number": "864-599-7589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "ALICIA",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-06",
"last_updated": "2014-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "3909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.