SOUTHERN ROOTS CHIROPRACTIC
NPI 1487447181
Chiropractor in Batesburg Leesville, SC
About Southern Roots Chiropractic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN ROOTS CHIROPRACTIC (NPI 1487447181) is a healthcare organization registered as a chiropractor in Batesburg Leesville, South Carolina and active in the NPI registry since May 2025. The organization lists Samantha Detore, Co-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 Roots Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Southern Roots Chiropractic, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Roots Chiropractic's NPI number?
The NPI number for Southern Roots Chiropractic is 1487447181. It was assigned to this organization in the NPPES registry on May 26, 2025.
Where is Southern Roots Chiropractic located?
Southern Roots Chiropractic is located at 323 Village Square Dr, Batesburg Leesville, SC 29070. The listed phone number is (803) 307-0000.
What is Southern Roots Chiropractic's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Southern Roots Chiropractic enrolled in Medicare?
Yes. Southern Roots Chiropractic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Roots Chiropractic?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Southern Roots Chiropractic. 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, 2 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 Southern Roots Chiropractic was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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 Roots Chiropractic · NPI 1487447181
Chiropractor organization in Batesburg Leesville, South Carolina. Organization record, active in the CMS NPPES registry since May 26, 2025.
## Identity
- **NPI:** 1487447181 (Entity type: Organization)
- **Enumerated:** May 26, 2025
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Samantha Detore, CO-OWNER
## Practice location
- **Address:** 323 VILLAGE SQUARE DR, Batesburg Leesville, SC 29070-7055
- **Phone:** (803) 307-0000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Chiropractic) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1487447181) · Data from the CMS NPPES public registry.