Spine and Joint, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3524 Issued in SC

Legal business name

SPINE AND JOINT, LLC

Practice address

209 Musgrove St
Clinton, SC 29325

Phone

(864) 547-1607

Fax

(864) 547-1606

NPI assigned

Feb 16, 2010

Last updated

Oct 20, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ryan V WilliamsNPI 1861714909

Title

Owner

Phone

(864) 547-2250

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Spine and Joint, LLC

  • Chiropractor
  • Simpsonville, SC
  • NPI 1962799692

  O20100816001051

  Same enrollment

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ryan V Williams, D.C.

  • Chiropractor
  • Clinton, SC
  • NPI 1861714909
  Medicare reassignment NPD Authorized official
• Dana Fuller, FNP

  • Family Medicine Physician
  • Clinton, SC
  • NPI 1578125837
  NPD (past)
• Michelle L Hagenbuch, M.D.

  • Family Medicine Physician
  • Clinton, SC
  • NPI 1053396358
  NPD (past)
• Savannah Rose Styles

  • Medical Physician Assistant
  • Clinton, SC
  • NPI 1255107561
  NPD (past)

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1851613996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 209",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293250209",
            "telephone_number": "864-547-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 MUSGROVE ST",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "29325",
            "telephone_number": "864-547-1607",
            "fax_number": "864-547-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND JOINT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-16",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-547-2250"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Carolina CVS Pharmacy LLC (CVS Pharmacy #03557)
• South Carolina Department of Juvenile Justice
• Spartanburg Medical Center (Medical Group of the Carolinas - Hematology Oncology - Laurens)
• Kodee Spearman
• Sarah Hamm Spencer, LCSW
• Kayla Danielle Staton, FNP-BC
• Kelly Steadman, LPN
• Andrew Martin Steiner, MD
• Stepping Forward LLC
• Charles D Stinson, M.S.

• Chiropractor in Clinton, SC
• Providers in Clinton, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.

Verify at the official NPI Registry.