SOUTHEAST SPINE & WELLNESS CENTER LLC
NPI 1467694729
Chiropractor in Portsmouth, VA

Q: What is Southeast Spine & Wellness Center LLC's specialty?

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

Active since April 01, 2009

355 CRAWFORD ST, SUITE 105, PORTSMOUTH, VA 23704(757) 399-4700(757) 399-0011 Get Directions Write a Review

NPPES record last updated: July 8, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Southeast Spine & Wellness Center Llc NPPES

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

SOUTHEAST SPINE & WELLNESS CENTER LLC (NPI 1467694729) is a healthcare organization registered as a chiropractor in Portsmouth, Virginia and active in the NPI registry since April 2009. The organization lists Stephen Michael Genthner, Owner/doctor Of Chiropractic, as its authorized official.

NPPES Registry Identity

NPI1467694729

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameSOUTHEAST SPINE & WELLNESS CENTER LLC

Location Address355 CRAWFORD ST, SUITE 105Portsmouth, VA 23704-2816

Mailing Address355 Crawford St, Suite 105Portsmouth, VA 23704-2816 · (757) 399-4700 · Fax (757) 399-0011

Phone(757) 399-4700

Fax(757) 399-0011

Organization SubpartNo

Authorized OfficialStephen Michael GenthnerOwner/doctor Of Chiropractic · (757) 399-4700

Enumeration DateApril 1, 2009

Last NPPES UpdateJuly 8, 2014

✔ NPI 1467694729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in VA · 0104556637

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.

355 CRAWFORD ST, Portsmouth, VA 23704

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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)

Southeast Spine & Wellness Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Southeast Spine & Wellness Center LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Ashley Genthner, D.C.

Chiropractic

NPI 1982839718

355 CRAWFORD ST SUITE 506
Portsmouth, VA 23704

(757) 399-4700

✔ Accepts MedicareSame address

Erika Lackey

Chiropractic

NPI 1295241396

355 CRAWFORD ST STE 105
Portsmouth, VA 23704

(757) 399-4700

Same address

Stephen Genthner, D.C.

Chiropractic

NPI 1407030653

355 CRAWFORD ST SUITE 105
Portsmouth, VA 23704

(757) 399-4700

✔ Accepts MedicareSame address

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 Southeast Spine & Wellness Center LLC's NPI number?

The NPI number for Southeast Spine & Wellness Center LLC is 1467694729. It was assigned to this organization in the NPPES registry on April 1, 2009.

Where is Southeast Spine & Wellness Center LLC located?

Southeast Spine & Wellness Center LLC is located at 355 Crawford St Suite 105, Portsmouth, VA 23704. The listed phone number is (757) 399-4700.

What is Southeast Spine & Wellness Center LLC's specialty?

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

Is Southeast Spine & Wellness Center LLC enrolled in Medicare?

Yes. Southeast Spine & Wellness Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeast Spine & Wellness Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Chiropractic, reassign their Medicare billing to Southeast Spine & Wellness 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. Of these, 3 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 Southeast Spine & Wellness Center LLC was last updated on July 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.