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DR. CHAD RICHARD WAGNER D.C.
NPI 1164602009
Chiropractor in Spartanburg, SC

Active since November 08, 2007Accepts Medicare Assignment
115 SOUTHPORT RD STE B, SPARTANBURG, SC 29306(864) 804-6612(864) 488-2216 Get Directions Write a Review

NPPES record last updated: June 22, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Chad Richard Wagner D.c. NPPES

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

DR. CHAD RICHARD WAGNER D.C. (NPI 1164602009) is an individual chiropractor in Spartanburg, South Carolina, licensed in South Carolina (3296) and active in the NPI registry since November 2007. He is a graduate of Sherman College Of Straight Chiropractic (2006).

NPPES Registry Identity

NPI1164602009
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. CHAD RICHARD WAGNERCredential: D.C.
Location Address115 SOUTHPORT RD STE BSpartanburg, SC 29306-3814
Mailing AddressPo Box 2068Gaffney, SC 29342-2068 · (864) 414-5903 · Fax (864) 488-0410
Phone(864) 804-6612
Fax(864) 488-2216
Sole ProprietorNo
Medical School CMSSherman College Of Straight ChiropracticGraduated 2006
Enumeration DateNovember 8, 2007
Last NPPES UpdateJune 22, 2016
✔ NPI 1164602009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in SC · 3296
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.
115 SOUTHPORT RD STE B, Spartanburg, SC 29306
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Other Identifiers 1

Medicare PINNCS5369086SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.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

Dr. Chad Richard Wagner D.c. 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 ID2365732229
PECOS Enrollment IDI20160606000237

Medicare Billing Reassignments

2

Medicare enrollment records show Chad Wagner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Atlas Chiropractic & Wellness, PC
Same address
Chiropractor
115 SOUTHPORT RD STE B
Spartanburg, SC 29306
  • Reassigned Medicare billing, South Carolina enrollment
  • 2 clinicians in this Medicare group
NPI 1154763829 (864) 804-6612
South Carolina Back Pain & Wellness Center
21 mi
Chiropractor
303 W BIRNIE ST
Gaffney, SC 29341
  • Reassigned Medicare billing, South Carolina enrollment
  • 2 clinicians in this Medicare group
NPI 1841447612 (864) 488-0410

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
119 services21 patients

Other Providers at the Same Location NPPES

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

ATLAS CHIROPRACTIC & WELLNESS, PC
Chiropractor
115 SOUTHPORT RD STE B
SPARTANBURG, SC 29306
Spartanburg County (864) 804-6612

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 Chad Wagner's NPI number?

The NPI number for Chad Wagner is 1164602009. It was assigned to this individual provider in the NPPES registry on November 8, 2007.

Where is Chad Wagner located?

Chad Wagner practices at 115 Southport Rd Ste B, Spartanburg, SC 29306. The listed phone number is (864) 804-6612.

What is Chad Wagner's specialty?

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

Is Chad Wagner enrolled in Medicare?

Yes. Chad Wagner 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 organizations bill Medicare for Chad Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chad Wagner reassigns Medicare benefits to 2 organizations: Atlas Chiropractic & Wellness, PC (Spartanburg, SC) and South Carolina Back Pain & Wellness Center (Gaffney, SC). Each 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 Chad Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Chad Wagner accept?

Health plans from BlueCross BlueShield of South Carolina list Chad Wagner 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 Chad Wagner was last updated on June 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.