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KEITH CLINIC ESTRAMONTE CHIROPRACTIC KINGS MOUNTAIN PA
NPI 1083587000
Chiropractor in Kings Mountain, NC

Active since September 25, 2025
510A W KING ST, KINGS MOUNTAIN, NC 28086(980) 396-2811 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Keith Clinic Estramonte Chiropractic Kings Mountain Pa NPPES

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

KEITH CLINIC ESTRAMONTE CHIROPRACTIC KINGS MOUNTAIN PA (NPI 1083587000) is a healthcare organization registered as a chiropractor in Kings Mountain, North Carolina and active in the NPI registry since September 2025. The organization lists Debra Lee Hudson, Senior Accounting Analyst, as its authorized official.

NPPES Registry Identity

NPI1083587000
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameKEITH CLINIC ESTRAMONTE CHIROPRACTIC KINGS MOUNTAIN PA
Location Address510A W KING STKings Mountain, NC 28086-3310
Mailing Address510a W King St Ste AKings Mountain, NC 28086-3310 · (980) 396-2811 · Fax (980) 221-1654
Phone(980) 396-2811
Organization SubpartNo
Authorized OfficialDebra Lee HudsonSenior Accounting Analyst · (704) 420-4690
Enumeration DateSeptember 25, 2025
Last NPPES UpdateDecember 15, 2025
NPPES CertifiedDecember 15, 2025
✔ NPI 1083587000 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.
510A W KING ST, Kings Mountain, NC 28086
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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)

Keith Clinic Estramonte Chiropractic Kings Mountain Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Keith Clinic Estramonte Chiropractic Kings Mountain PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mitchell Lamerson, D.C.
Chiropractic
NPI 1154209534
510 W KING ST STE A
Kings Mountain, NC 28086
(980) 396-2811
1.0 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 Keith Clinic Estramonte Chiropractic Kings Mountain PA's NPI number?

The NPI number for Keith Clinic Estramonte Chiropractic Kings Mountain PA is 1083587000. It was assigned to this organization in the NPPES registry on September 25, 2025.

Where is Keith Clinic Estramonte Chiropractic Kings Mountain PA located?

Keith Clinic Estramonte Chiropractic Kings Mountain PA is located at 510A W King St, Kings Mountain, NC 28086. The listed phone number is (980) 396-2811.

What is Keith Clinic Estramonte Chiropractic Kings Mountain PA's specialty?

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

Is Keith Clinic Estramonte Chiropractic Kings Mountain PA enrolled in Medicare?

Yes. Keith Clinic Estramonte Chiropractic Kings Mountain PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Keith Clinic Estramonte Chiropractic Kings Mountain PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Keith Clinic Estramonte Chiropractic Kings Mountain PA. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Keith Clinic Estramonte Chiropractic Kings Mountain PA was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.