Individual provider Active NPI

Alicia L. Watson, D.C.

  • Chiropractor
  • Spartanburg, SC
National Provider Identifier
1750791273
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3909 Issued in SC
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

Updated by the provider on May 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20210505002235 SC Practitioner - Chiropractic 4587073499 Reassigns benefits to 1 organization

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
Infinite Wellness CenterGroup PAC ID 3072773555, 2 clinicians

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

LicenseStateTypeSpecialty
3909SCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Wellness Center CurrentSince Feb 22, 2021 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.

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.

Verify at the official NPI Registry.