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SHALLOTTE CHIROPRACTIC BALANCE AND WELLNESS PLLC
NPI 1609581933
Chiropractor in Shallotte, NC

Active since January 20, 2023
4465 MAIN ST, SHALLOTTE, NC 28470(910) 505-8680(910) 612-6002 Get Directions Write a Review

NPPES record last updated: December 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shallotte Chiropractic Balance And Wellness Pllc NPPES

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

SHALLOTTE CHIROPRACTIC BALANCE AND WELLNESS PLLC (NPI 1609581933) is a healthcare organization registered as a chiropractor in Shallotte, North Carolina and active in the NPI registry since January 2023. The organization lists Agnes Regina Freeman, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1609581933
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSHALLOTTE CHIROPRACTIC BALANCE AND WELLNESS PLLC
Location Address4465 MAIN STShallotte, NC 28470-4451
Mailing Address4465 Main StShallotte, NC 28470-4451 · (910) 505-8680
Phone(910) 505-8680
Fax(910) 612-6002
Organization SubpartNo
Authorized OfficialAgnes Regina FreemanOwner/president · (910) 264-1705
Enumeration DateJanuary 20, 2023
Last NPPES UpdateDecember 28, 2023
NPPES CertifiedDecember 11, 2023
✔ NPI 1609581933 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.
4465 MAIN ST, Shallotte, NC 28470
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Other Identifiers 3

Other1083616825NC · Individual Npi
Medicaid89085H6NC
Other085H6NC · Blue Cross/blue Shield

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)

Shallotte Chiropractic Balance And Wellness 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 Shallotte Chiropractic Balance And Wellness PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Pamela Baldwin, D.C.
Chiropractic
NPI 1902856495
1424 S JK POWELL BLVD SUITE D
Whiteville, NC 28472
(910) 642-1111
32 mi
Agnes Freeman, D.C
Chiropractic
NPI 1083616825
1424 S JK POWELL BLVD STE D
Whiteville, NC 28472
(910) 642-1111
32 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 Shallotte Chiropractic Balance And Wellness PLLC's NPI number?

The NPI number for Shallotte Chiropractic Balance And Wellness PLLC is 1609581933. It was assigned to this organization in the NPPES registry on January 20, 2023.

Where is Shallotte Chiropractic Balance And Wellness PLLC located?

Shallotte Chiropractic Balance And Wellness PLLC is located at 4465 Main St, Shallotte, NC 28470. The listed phone number is (910) 505-8680.

What is Shallotte Chiropractic Balance And Wellness PLLC's specialty?

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

Is Shallotte Chiropractic Balance And Wellness PLLC enrolled in Medicare?

Yes. Shallotte Chiropractic Balance And Wellness PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shallotte Chiropractic Balance And Wellness PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Shallotte Chiropractic Balance And Wellness 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shallotte Chiropractic Balance And Wellness PLLC was last updated on December 28, 2023. 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.