SOUTHERN COASTAL PREMIER CHIROPRACTIC PC
NPI 1306402250
Chiropractor in Douglas, GA
About Southern Coastal Premier Chiropractic Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN COASTAL PREMIER CHIROPRACTIC PC (NPI 1306402250) is a healthcare organization registered as a chiropractor in Douglas, Georgia and active in the NPI registry since May 2019. The organization lists Alexander Scott Bridwell, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Southern Coastal Premier Chiropractic Pc 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 Southern Coastal Premier Chiropractic PC, 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 Southern Coastal Premier Chiropractic PC's NPI number?
The NPI number for Southern Coastal Premier Chiropractic PC is 1306402250. It was assigned to this organization in the NPPES registry on May 16, 2019.
Where is Southern Coastal Premier Chiropractic PC located?
Southern Coastal Premier Chiropractic PC is located at 105 Shirley Ave, Douglas, GA 31533. The listed phone number is (912) 720-5556.
What is Southern Coastal Premier Chiropractic PC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Southern Coastal Premier Chiropractic PC enrolled in Medicare?
Yes. Southern Coastal Premier Chiropractic PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Coastal Premier Chiropractic PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Southern Coastal Premier Chiropractic PC. 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 Southern Coastal Premier Chiropractic PC was last updated on November 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Southern Coastal Premier Chiropractic Pc · NPI 1306402250
Chiropractor organization in Douglas, Georgia. Organization record, active in the CMS NPPES registry since May 16, 2019.
## Identity
- **NPI:** 1306402250 (Entity type: Organization)
- **Enumerated:** May 16, 2019
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Alexander Bridwell, OWNER
## Practice location
- **Address:** 105 SHIRLEY AVE, Douglas, GA 31533-2325
- **Phone:** (912) 720-5556
## 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:** November 5, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1306402250) · Data from the CMS NPPES public registry.