ELITE PERFORMANCE AND PAIN CENTER LLC
NPI 1225183783
Chiropractor in Charleston, SC
About Elite Performance And Pain Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELITE PERFORMANCE AND PAIN CENTER LLC (NPI 1225183783), doing business as Active Care Family Chiropractic Llc, is a healthcare organization registered as a chiropractor in Charleston, South Carolina and active in the NPI registry since January 2007. The organization lists Jeremiah Jason Jimerson, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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)
Elite Performance And Pain Center Llc 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 Elite Performance And Pain Center LLC, 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 Elite Performance And Pain Center LLC's NPI number?
The NPI number for Elite Performance And Pain Center LLC is 1225183783. It was assigned to this organization in the NPPES registry on January 24, 2007. The provider was formerly known as Active Care Family Chiropractic LLC.
Where is Elite Performance And Pain Center LLC located?
Elite Performance And Pain Center LLC is located at 761 Saint Andrews Blvd, Charleston, SC 29407. The listed phone number is (843) 873-6004.
What is Elite Performance And Pain Center LLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Elite Performance And Pain Center LLC enrolled in Medicare?
Yes. Elite Performance And Pain Center LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Elite Performance And Pain Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Elite Performance And Pain Center LLC. 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 Elite Performance And Pain Center LLC was last updated on March 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Elite Performance And Pain Center Llc · NPI 1225183783
Chiropractor organization in Charleston, South Carolina. Organization record, active in the CMS NPPES registry since January 24, 2007.
## Identity
- **NPI:** 1225183783 (Entity type: Organization)
- **Enumerated:** January 24, 2007
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Jeremiah Jimerson, PRESIDENT
## Practice location
- **Address:** 761 SAINT ANDREWS BLVD, Charleston, SC 29407-7164
- **Phone:** (843) 873-6004
## 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:** March 30, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1225183783) · Data from the CMS NPPES public registry.