DR. OCTAVIA C PRINCE
NPI 1104442573
Chiropractor in Baltimore, MD

Active since June 22, 2020Accepts Medicare Assignment
6414 PARK HEIGHTS AVE STE G1, BALTIMORE, MD 21215(404) 263-1004 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 23, 2023, Jan 26, 2023, Nov 30, 2022 and 1 more (4 updates tracked since 2020).

About Dr. Octavia C Prince NPPES

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

DR. OCTAVIA C PRINCE (NPI 1104442573) is an individual chiropractor in Baltimore, Maryland, licensed in Maryland (S03991) and active in the NPI registry since June 2020. She maintains a secondary practice location in Pikesville and is a graduate of Life Chiropractic College (2018).

NPPES Registry Identity

NPI1104442573
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. OCTAVIA C PRINCE
Location Address6414 PARK HEIGHTS AVE STE G1Baltimore, MD 21215-3064
Mailing Address6414 Park Heights Ave Ste G1Baltimore, MD 21215-3064 · (404) 263-1004
Sole ProprietorNo
Medical School CMSLife Chiropractic CollegeGraduated 2018
Enumeration DateJune 22, 2020
Last NPPES UpdateMarch 23, 20234 updates tracked since enumeration
NPPES CertifiedMarch 23, 2023
NPI 1104442573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in MD · S03991
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.
6414 PARK HEIGHTS AVE STE G1, Baltimore, MD 21215

Secondary Practice Location 1

Location 11866F Reisterstown RdPikesville, MD 21208-1335 · Phone (410) 413-1152

Other Identifiers 1

Medicaid887504900MD

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Octavia C Prince 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.

PECOS PAC ID8820416381
PECOS Enrollment IDI20200915002025

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
6414 PARK HEIGHTS AVE STE G1
BALTIMORE, MD 21215

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 Octavia Prince's NPI number?

The NPI number for Octavia Prince is 1104442573. It was assigned to this individual provider in the NPPES registry on June 22, 2020.

Where is Octavia Prince located?

Octavia Prince practices at 6414 Park Heights Ave Ste G1, Baltimore, MD 21215. The listed phone number is (404) 263-1004.

What is Octavia Prince's specialty?

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

Is Octavia Prince enrolled in Medicare?

Yes. Octavia Prince 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.

What insurance does Octavia Prince accept?

Health plans from Providence Health Plan list Octavia Prince 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 Octavia Prince was last updated on March 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.