ACTIVE LIFE CHIROPRACTIC, PLLC
NPI 1083994511
Chiropractor in Charlotte, NC
About Active Life Chiropractic, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ACTIVE LIFE CHIROPRACTIC, PLLC (NPI 1083994511) is a healthcare organization registered as a chiropractor in Charlotte, North Carolina and active in the NPI registry since August 2011. The organization lists Robert Nicolas Mason, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Active Life Chiropractic, Pllc 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 Active Life Chiropractic, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Active Life Chiropractic, PLLC's NPI number?
The NPI number for Active Life Chiropractic, PLLC is 1083994511. It was assigned to this organization in the NPPES registry on August 29, 2011.
Where is Active Life Chiropractic, PLLC located?
Active Life Chiropractic, PLLC is located at 7940 Williams Pond Ln Ste 225, Charlotte, NC 28277. The listed phone number is (614) 905-7531.
What is Active Life Chiropractic, PLLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Active Life Chiropractic, PLLC enrolled in Medicare?
Yes. Active Life Chiropractic, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Active Life Chiropractic, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Active Life Chiropractic, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Active Life Chiropractic, PLLC was last updated on September 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.
# Active Life Chiropractic, Pllc · NPI 1083994511
Chiropractor organization in Charlotte, North Carolina. Organization record, active in the CMS NPPES registry since August 29, 2011.
## Identity
- **NPI:** 1083994511 (Entity type: Organization)
- **Enumerated:** August 29, 2011
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Robert Mason, OWNER
## Practice location
- **Address:** 7940 WILLIAMS POND LN STE 225, Charlotte, NC 28277-8411
- **Phone:** (614) 905-7531
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 12, 2011
- **Other identifiers:** Medicare PIN 4182991 (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1083994511) · Data from the CMS NPPES public registry.