Katlyn Marks, DC
Individual provider Active NPI Chiropractor · Fountain Inn, SC
NPI 1891504692 · NPPES record last updated Jan 6, 2025
Key facts
- NPI
- 1891504692
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC5109 (SC)
- Practice address
- 4 Cedar Summit Way
Fountain Inn, SC 29644-9772 - Phone
- (864) 316-6590
- NPI assigned
- Jan 6, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Blundy Inc
Practice addresses (Care Compare)
16 Accountants Cir
Seneca, SC 29678-2670
Phone (864) 882-5191
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260210000736 | SC | Practitioner - Chiropractic | 8820577877 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5109 | SC | MD | Professional Counselor |
| DC5109 | SC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blundy Inc | Chiropractor | Current |
Accepting new patients |
Locations
16 Accountants Cir
Seneca, SC 29678
Phone (864) 882-5191
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC5109 | SC | Yes |
Addresses
Primary practice location
4 Cedar Summit Way
Fountain Inn, SC 29644-9772
Mailing address
4 Cedar Summit Way
Fountain Inn, SC 29644-9772
Other providers in Fountain Inn, SC
- James Roger Mahon
- Majestic Home Health Care LLC
- Payton Malone
- Mama T Herbs LLC
- Randy L Marg
- Meredith Marlowe
- Leah M Mauritz
- Yalianis Mendive
- Timara Nicole Mickens
- Kristen Markham Middlebrooks
All providers in Fountain Inn, SC · Chiropractor in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.