Active NPI
John Alphonso Fedina, D.C.
- Sports Physician Chiropractor
- Spartanburg, SC
National Provider Identifier
1881663235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 1042
- Practice address
- 4240 N Blackstock Rd
Spartanburg, SC 29301-1112 - Phone
- (864) 574-4577
- NPI assigned
- Mar 17, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 1042 | SC | Primary |
Addresses
Primary practice location
4240 N Blackstock Rd
Spartanburg, SC 29301-1112
Mailing address
4240 N Blackstock Rd
Spartanburg, SC 29301-1112
Phone (864) 574-4577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1042 | SC | MD | Group Psychotherapy Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1881663235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4240 N BLACKSTOCK RD",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293011112",
"telephone_number": "864-574-4577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4240 N BLACKSTOCK RD",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293011112",
"telephone_number": "864-574-4577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEDINA",
"first_name": "JOHN",
"middle_name": "ALPHONSO",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "SC",
"license": "1042",
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.