Palmetto Spine and Pain LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PALMETTO SPINE AND PAIN LLC

Practice address

207 Spoonbill CT
Chapin, SC 29036-7334

Phone

(803) 429-7690

NPI assigned

Sep 19, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Andrew Stellfox, D.C.NPI 1508166356

Title

Owner

Phone

(803) 429-7690

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

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

• Stephen Andrew Stellfox, D.C.

  • Chiropractor
  • Chapin, SC
  • NPI 1508166356
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537315200000",
    "number": "1982188629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 SPOONBILL CT",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290367334",
            "telephone_number": "803-429-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 SPOONBILL CT",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290367334",
            "telephone_number": "803-429-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO SPINE AND PAIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A",
        "authorized_official_last_name": "STELLFOX",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-429-7690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508166356",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palmetto Bone and Joint
• Palmetto Health
• Palmetto Homecare Physicians, LLC
• Palmetto Pediatric OT, LLC
• Palmetto Speech and Feeding LLC
• Palmetto Transport Services, LLC
• Rachel Caroline Parker-Gao
• Betty D Pelletier, ANP-BC
• Denyse Gisele Peterson
• Bertha M Phillips, DCC, LMSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.