DR JACK CHIROPRACTOR INC
NPI 1356836753
Clinic/Center in Easley, SC
About Dr Jack Chiropractor Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR JACK CHIROPRACTOR INC (NPI 1356836753) is a healthcare organization registered as a clinic/center in Easley, South Carolina and active in the NPI registry since June 2018. The organization lists Jack Edward Newsome, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr Jack Chiropractor Inc 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 Dr Jack Chiropractor Inc, 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 Dr Jack Chiropractor Inc's NPI number?
The NPI number for Dr Jack Chiropractor Inc is 1356836753. It was assigned to this organization in the NPPES registry on June 27, 2018.
Where is Dr Jack Chiropractor Inc located?
Dr Jack Chiropractor Inc is located at 6335C Calhoun Memorial Hwy Ste C, Easley, SC 29640. The listed phone number is (864) 859-8282.
What is Dr Jack Chiropractor Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Dr Jack Chiropractor Inc enrolled in Medicare?
Yes. Dr Jack Chiropractor Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dr Jack Chiropractor Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Dr Jack Chiropractor Inc. 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 Dr Jack Chiropractor Inc was last updated on June 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr Jack Chiropractor Inc · NPI 1356836753
Clinic/Center organization in Easley, South Carolina. Organization record, active in the CMS NPPES registry since June 27, 2018.
## Identity
- **NPI:** 1356836753 (Entity type: Organization)
- **Enumerated:** June 27, 2018
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Jack Newsome, OWNER
## Practice location
- **Address:** 6335C CALHOUN MEMORIAL HWY STE C, Easley, SC 29640-3784
- **Phone:** (864) 859-8282 · **Fax:** (864) 859-3628
## 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:** June 27, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1356836753) · Data from the CMS NPPES public registry.