JED RILEY ELLENBURG DC
NPI 1093441685
Chiropractor in Lyman, SC
About Jed Riley Ellenburg Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JED RILEY ELLENBURG DC (NPI 1093441685) is an individual chiropractor in Lyman, South Carolina, licensed in South Carolina (4838) and active in the NPI registry since July 2022. He is a graduate of Sherman College Of Straight Chiropractic (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jed Riley Ellenburg Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jed Ellenburg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lyman, SC 29365
- Reassigned Medicare billing, South Carolina enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jed Ellenburg's NPI number?
The NPI number for Jed Ellenburg is 1093441685. It was assigned to this individual provider in the NPPES registry on July 27, 2022.
Where is Jed Ellenburg located?
Jed Ellenburg practices at 12 Groce Rd, Lyman, SC 29365. The listed phone number is (864) 439-1345.
What is Jed Ellenburg's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Jed Ellenburg enrolled in Medicare?
Yes. Jed Ellenburg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jed Ellenburg's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jed Ellenburg reassigns Medicare benefits to Elite Medical Center LLC (Lyman, SC). The 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 Jed Ellenburg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jed Ellenburg accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Providence Health Plan and UnitedHealthcare list Jed Ellenburg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jed Ellenburg was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.
# Jed Riley Ellenburg, DC · NPI 1093441685
Chiropractor provider in Lyman, South Carolina. Individual provider, active in the CMS NPPES registry since July 27, 2022.
## Identity
- **NPI:** 1093441685 (Entity type: Individual)
- **Enumerated:** July 27, 2022
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 4838 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 12 GROCE RD, Lyman, SC 29365-1631
- **Phone:** (864) 439-1345 · **Fax:** (864) 439-1346
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Elite Medical Center LLC (NPI 1730727009, Lyman, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Sherman College Of Straight Chiropractic, class of 2022
## Record status
- **NPPES last updated:** October 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1093441685) · Data from the CMS NPPES public registry.