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PROVIDENCE CHIROPRACTIC, LLC
NPI 1245571561
Chiropractor in Fort Mill, SC

Active since March 12, 2013
3071 HIGHWAY 21 BYP, SUITE 103, FORT MILL, SC 29715(803) 835-0444(803) 835-0489 Get Directions Write a Review

NPPES record last updated: March 12, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Providence Chiropractic, Llc NPPES

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

PROVIDENCE CHIROPRACTIC, LLC (NPI 1245571561) is a healthcare organization registered as a chiropractor in Fort Mill, South Carolina and active in the NPI registry since March 2013. The organization lists Jessica M Harden, Provider, as its authorized official.

NPPES Registry Identity

NPI1245571561
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePROVIDENCE CHIROPRACTIC, LLC
Location Address3071 HIGHWAY 21 BYP, SUITE 103Fort Mill, SC 29715-7205
Mailing Address3071 Highway 21 Byp, Suite 103Fort Mill, SC 29715-7205 · (803) 835-0444 · Fax (803) 835-0489
Phone(803) 835-0444
Fax(803) 835-0489
Organization SubpartNo
Authorized OfficialJessica M HardenProvider · (803) 835-0444
Enumeration DateMarch 12, 2013
✔ NPI 1245571561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
3071 HIGHWAY 21 BYP, Fort Mill, SC 29715
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Providence Chiropractic, 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 Providence Chiropractic, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jessica Harden-Venable, D.C.
Chiropractic
NPI 1922354034
3071 HIGHWAY 21 BYP STE 103
Fort Mill, SC 29715
(704) 907-2757
✔ Accepts Medicare6.0 mi

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 Providence Chiropractic, LLC's NPI number?

The NPI number for Providence Chiropractic, LLC is 1245571561. It was assigned to this organization in the NPPES registry on March 12, 2013.

Where is Providence Chiropractic, LLC located?

Providence Chiropractic, LLC is located at 3071 Highway 21 Byp Suite 103, Fort Mill, SC 29715. The listed phone number is (803) 835-0444.

What is Providence Chiropractic, LLC's specialty?

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

Is Providence Chiropractic, LLC enrolled in Medicare?

Yes. Providence Chiropractic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Providence Chiropractic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Providence Chiropractic, 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 Providence Chiropractic, LLC was last updated on March 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.