SOUTHERN STATES PHYSICAL MEDICINE AND REHABILIATION CENTER
NPI 1114943099
Chiropractor in Fort Mill, SC

Active since July 14, 2006
8763 CHARLOTTE HWY, FORT MILL, SC 29715(803) 548-8452 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Southern States Physical Medicine And Rehabiliation Center NPPES

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

SOUTHERN STATES PHYSICAL MEDICINE AND REHABILIATION CENTER (NPI 1114943099), doing business as Southern States Family Health Center, is a healthcare organization registered as a chiropractor in Fort Mill, South Carolina and active in the NPI registry since July 2006. The organization lists Glenn Geada, Owner, as its authorized official.

NPPES Registry Identity

NPI1114943099
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSOUTHERN STATES PHYSICAL MEDICINE AND REHABILIATION CENTER
Location Address8763 CHARLOTTE HWYFort Mill, SC 29715-7589
Mailing Address1002 N Woodland DrLancaster, SC 29720-1966
Organization SubpartNo
Authorized OfficialGlenn GeadaOwner · (803) 283-8442
Enumeration DateJuly 14, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1114943099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in SC · 2158
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.

Also ListedPhysical TherapistTaxonomy 225100000X · License 3884 (SC)
8763 CHARLOTTE HWY, Fort Mill, SC 29715

Other Names 1

Doing Business AsSouthern States Family Health Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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
8763 CHARLOTTE HWY
FORT MILL, SC 29715

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 Southern States Physical Medicine And Rehabiliation Center's NPI number?

The NPI number for Southern States Physical Medicine And Rehabiliation Center is 1114943099. It was assigned to this organization in the NPPES registry on July 14, 2006. The provider is doing business as Southern States Family Health Center.

Where is Southern States Physical Medicine And Rehabiliation Center located?

Southern States Physical Medicine And Rehabiliation Center is located at 8763 Charlotte Hwy, Fort Mill, SC 29715. The listed phone number is (803) 548-8452.

What is Southern States Physical Medicine And Rehabiliation Center's specialty?

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

When was this NPI record last updated?

The NPPES record for Southern States Physical Medicine And Rehabiliation Center was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.