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INTEGRATIVE CHIROPRACTIC OF BALLANTYNE PLLC
NPI 1306678552
Chiropractor in Charlotte, NC

Active since August 16, 2024
16607 RIVERSTONE WAY STE 100, CHARLOTTE, NC 28277(704) 341-4118(704) 341-4101 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Integrative Chiropractic Of Ballantyne Pllc NPPES

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

INTEGRATIVE CHIROPRACTIC OF BALLANTYNE PLLC (NPI 1306678552) is a healthcare organization registered as a chiropractor in Charlotte, North Carolina and active in the NPI registry since August 2024. The organization lists Jennifer Degaray, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1306678552
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameINTEGRATIVE CHIROPRACTIC OF BALLANTYNE PLLC
Location Address16607 RIVERSTONE WAY STE 100Charlotte, NC 28277-5750
Mailing Address16607 Riverstone Way Ste 100Charlotte, NC 28277-5750 · (704) 341-4118 · Fax (704) 341-4101
Phone(704) 341-4118
Fax(704) 341-4101
Organization SubpartNo
Authorized OfficialJennifer DegarayOwner/provider · (704) 225-8686
Enumeration DateAugust 16, 2024
Last NPPES UpdateOctober 14, 2024
NPPES CertifiedOctober 14, 2024
✔ NPI 1306678552 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.
16607 RIVERSTONE WAY STE 100, Charlotte, NC 28277
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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)

Integrative Chiropractic Of Ballantyne Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Integrative Chiropractic Of Ballantyne PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Kennedi Pierce
Chiropractic
NPI 1578244521
16607 RIVERSTONE WAY STE 100
Charlotte, NC 28277
(704) 341-4118
Same address
Blake Klessig, DC
Chiropractic
NPI 1316587082
6580 OLD MONROE RD STE A
Indian Trail, NC 28079
(704) 225-8686
✔ Accepts Medicare11 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 Integrative Chiropractic Of Ballantyne PLLC's NPI number?

The NPI number for Integrative Chiropractic Of Ballantyne PLLC is 1306678552. It was assigned to this organization in the NPPES registry on August 16, 2024.

Where is Integrative Chiropractic Of Ballantyne PLLC located?

Integrative Chiropractic Of Ballantyne PLLC is located at 16607 Riverstone Way Ste 100, Charlotte, NC 28277. The listed phone number is (704) 341-4118.

What is Integrative Chiropractic Of Ballantyne PLLC's specialty?

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

Is Integrative Chiropractic Of Ballantyne PLLC enrolled in Medicare?

Yes. Integrative Chiropractic Of Ballantyne PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Integrative Chiropractic Of Ballantyne PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Integrative Chiropractic Of Ballantyne PLLC. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Integrative Chiropractic Of Ballantyne PLLC was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.