Organization Active NPI

Nirvana Wellness

Doing business as Atlas Spine and Wellness Care

  • Chiropractor
  • Mount Pleasant, SC
National Provider Identifier
1891439139
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NIRVANA WELLNESS
Doing business as
Atlas Spine and Wellness Care
Practice address
3400 Salterbeck St Ste 102
Mount Pleasant, SC 29466-7118
Phone
(843) 352-7941
NPI assigned
Apr 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Authorized official

Name
Felix PeriardNPI 1073275277
Title
Doctor
Phone
(864) 747-9356

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3400 Salterbeck St Ste 102
Mount Pleasant, SC 29466-7118

Mailing address

3400 Salterbeck St Ste 102
Mount Pleasant, SC 29466-7118

Other names 1

  • Atlas Spine and Wellness Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220805002606 SC Part B Supplier - Clinic/Group Practice 1052793155 Receives reassigned benefits from 2 practitioners
Practice locations: Mount Pleasant, SC

National Provider Directory

National Provider Directory

Locations

3400 Salterbeck St
Ste 102
Mt Pleasant, SC 29466
Phone (843) 352-7941

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1891439139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SALTERBECK ST STE 102",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SALTERBECK ST STE 102",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667118",
            "telephone_number": "843-352-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIRVANA WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-22",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "PERIARD",
        "authorized_official_first_name": "FELIX",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "864-747-9356"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlas Spine and Wellness Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Atlas Spine and Wellness Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.