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ACACIA CHIROPRACTIC CLINIC PLLC
NPI 1063360675
Chiropractor in Fort Mill, SC

Active since March 19, 2026
1188 STONECREST BLVD STE 102, FORT MILL, SC 29708(803) 412-2240(803) 802-2413 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Acacia Chiropractic Clinic Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ACACIA CHIROPRACTIC CLINIC PLLC (NPI 1063360675) is a healthcare organization registered as a chiropractor in Fort Mill, South Carolina and active in the NPI registry since March 2026. The organization lists Jared Sams, Owner, as its authorized official.

NPPES Registry Identity

NPI1063360675
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameACACIA CHIROPRACTIC CLINIC PLLC
Location Address1188 STONECREST BLVD STE 102Fort Mill, SC 29708-6633
Mailing Address10017 Glencrest DrHuntersville, NC 28078-5258 · (803) 412-2240 · Fax (803) 802-2413
Phone(803) 412-2240
Fax(803) 802-2413
Organization SubpartNo
Authorized OfficialJared SamsOwner · (803) 412-2240
Enumeration DateMarch 19, 2026
NPPES CertifiedMarch 19, 2026
✔ NPI 1063360675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1188 STONECREST BLVD STE 102, Fort Mill, SC 29708
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Acacia Chiropractic Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Acacia Chiropractic Clinic PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Jared Sams, DC
Chiropractic
NPI 1770020075
985 MARKET ST STE 201
Fort Mill, SC 29708
(803) 547-9800
✔ Accepts Medicare2.1 mi
David Hall, DC
Chiropractic
NPI 1598854804
421 FAIRVIEW RD
Ellenwood, GA 30294
(770) 389-1901
210 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Acacia Chiropractic Clinic PLLC's NPI number?

The NPI number for Acacia Chiropractic Clinic PLLC is 1063360675. It was assigned to this organization in the NPPES registry on March 19, 2026.

Where is Acacia Chiropractic Clinic PLLC located?

Acacia Chiropractic Clinic PLLC is located at 1188 Stonecrest Blvd Ste 102, Fort Mill, SC 29708. The listed phone number is (803) 412-2240.

What is Acacia Chiropractic Clinic PLLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Acacia Chiropractic Clinic PLLC enrolled in Medicare?

Yes. Acacia Chiropractic Clinic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Acacia Chiropractic Clinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Acacia Chiropractic Clinic PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Acacia Chiropractic Clinic PLLC was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.