Active NPI
Carolyn Desimone Longacre, DC
- Chiropractor
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3779
- Practice address
- 503 W Butler Rd Ste B
Greenville, SC 29607-4833 - Phone
- (864) 297-6270
- Fax
- (864) 509-9378
- NPI assigned
- Jun 4, 2013
- Sex
- Female
- Sole proprietor
- No
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 | 3779 | SC | Primary |
Addresses
Primary practice location
503 W Butler Rd Ste B
Greenville, SC 29607-4833
Mailing address
503 W Butler Rd Ste B
Greenville, SC 29607-4833
Phone (864) 297-6270
Other names 1
- Dr. Carolyn Marie Desimone
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
- Life Chiropractic College, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Greenville, SC 29607
Phone (864) 297-6270
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3779 | SC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brian Colquitt SC DC PA | Chiropractor | Current | Accepting new patients |
| Evergreen Family Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
Locations
405 S Ebenezer Rd
Florence, SC 29501
Phone (843) 662-4341
503 W Butler Rd
Ste B
Greenville, SC 29607
Phone (864) 297-6270
14 E Butler Rd
Mauldin, SC 29662
Phone (864) 297-6270
14 E Butler Rd
#C
Mauldin, SC 29662
Phone (864) 297-6270
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 and National Provider Directory roles.
-
- Chiropractor
- Mauldin, SC
- NPI 1639691835
-
- Chiropractor
- Florence, SC
- NPI 1518658012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681171200000",
"number": "1790123461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 W BUTLER RD STE B",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296074833",
"telephone_number": "864-297-6270",
"fax_number": "864-509-9378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 W BUTLER RD STE B",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296074833",
"telephone_number": "864-297-6270",
"fax_number": "864-509-9378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONGACRE",
"first_name": "CAROLYN",
"middle_name": "DESIMONE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-04",
"last_updated": "2023-04-11",
"certification_date": "2023-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "3779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAROLYN",
"last_name": "DESIMONE",
"middle_name": "MARIE",
"prefix": "DR.",
"credential": "DC",
"code": "1",
"type": "Former Name"
}
]
}
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 Apr 11, 2023; 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.