Jerren Keith Stines

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4519 Issued in SC

Practice address

506 Mercantile PL Ste 105
Fort Mill, SC 29715-2094

Phone

(803) 548-6900

NPI assigned

Jan 8, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Vibrant Family Chiropractic LLC

  dba Vibrant Family Chiropractic

  • Chiropractor
  • Fort Mill, SC
  • NPI 1568034627
  Medicare reassignment NPD Authorized official
• Capital City Chiropractic

  • Chiropractor
  • Columbia, SC
  • NPI 1366752818
  NPD (past)
• Capital City Chiropractic, LLC

  • Chiropractor
  • Columbia, SC
  • NPI 1053655571
  NPD (past)

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1881234763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 MERCANTILE PL STE 105",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297152094",
            "telephone_number": "803-648-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 MERCANTILE PL STE 105",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297152094",
            "telephone_number": "803-548-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINES",
        "first_name": "JERREN",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-08",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Jo Start, MD
• Stateline Medical Transportation, LLC
• Step Up Pediatric Therapy LLC
• Heather Courtney Stephens, DPT
• Leslie Stevenson, RBT
• Martin Scott Stone, D.C.
• Dawn Strength, CHC
• Christine Marie Strothers, L.M.
• Brittany Sturdivant, RBT
• Shantique Tiara Sturm

• Chiropractor in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.