SOUTH RIVER FAMILY CHIROPRACTIC LLC
NPI 1528709128
Clinic/Center in Edgewater, MD

Active since April 06, 2022
3168 BRAVERTON ST STE 302, EDGEWATER, MD 21037(410) 353-1616 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About South River Family Chiropractic Llc NPPES

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

SOUTH RIVER FAMILY CHIROPRACTIC LLC (NPI 1528709128) is a healthcare organization registered as a clinic/center in Edgewater, Maryland and active in the NPI registry since April 2022. The organization lists Angela Carlynn Tarjick, Owner/chiropractor, as its authorized official.

NPPES Registry Identity

NPI1528709128
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSOUTH RIVER FAMILY CHIROPRACTIC LLC
Location Address3168 BRAVERTON ST STE 302Edgewater, MD 21037-2680
Mailing Address1406 James WayEdgewater, MD 21037-1713 · (410) 353-1616
Organization SubpartNo
Authorized OfficialAngela Carlynn TarjickOwner/chiropractor · (410) 353-1616
Enumeration DateApril 6, 2022
NPPES CertifiedApril 6, 2022
✔ NPI 1528709128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3168 BRAVERTON ST STE 302, Edgewater, MD 21037

Other Identifiers 1

Other1932344272Provider Npi

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South River Family Chiropractic Llc 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 South River Family Chiropractic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1932344272
683 OLD MILL RD
Millersville, MD 21108
(410) 729-2200
✔ Accepts Medicare13 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 South River Family Chiropractic LLC's NPI number?

The NPI number for South River Family Chiropractic LLC is 1528709128. It was assigned to this organization in the NPPES registry on April 6, 2022.

Where is South River Family Chiropractic LLC located?

South River Family Chiropractic LLC is located at 3168 Braverton St Ste 302, Edgewater, MD 21037. The listed phone number is (410) 353-1616.

What is South River Family Chiropractic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is South River Family Chiropractic LLC enrolled in Medicare?

Yes. South River Family Chiropractic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South River Family Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to South River Family Chiropractic 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for South River Family Chiropractic LLC was last updated on April 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.