PINECREST CHIROPRACTIC PLLC
NPI 1619631140
Chiropractor - Sports Physician in Fuquay Varina, NC
About Pinecrest Chiropractic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PINECREST CHIROPRACTIC PLLC (NPI 1619631140) is a healthcare organization registered as a sports physician in Fuquay Varina, North Carolina and active in the NPI registry since October 2021. The organization lists Thomas Watt, Owner Operator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pinecrest Chiropractic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Pinecrest Chiropractic PLLC, 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 Pinecrest Chiropractic PLLC's NPI number?
The NPI number for Pinecrest Chiropractic PLLC is 1619631140. It was assigned to this organization in the NPPES registry on October 30, 2021.
Where is Pinecrest Chiropractic PLLC located?
Pinecrest Chiropractic PLLC is located at 609 Attain St Ste 141, Fuquay Varina, NC 27526. The listed phone number is (330) 447-7234.
What is Pinecrest Chiropractic PLLC's specialty?
The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.
Is Pinecrest Chiropractic PLLC enrolled in Medicare?
Yes. Pinecrest Chiropractic PLLC is registered in the Medicare PECOS enrollment system.
When is Pinecrest Chiropractic PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Carolina, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Pinecrest Chiropractic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Pinecrest Chiropractic 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. 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 Pinecrest Chiropractic PLLC was last updated on February 16, 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.
# Pinecrest Chiropractic Pllc · NPI 1619631140
Sports Physician organization in Fuquay Varina, North Carolina. Organization record, active in the CMS NPPES registry since October 30, 2021.
## Identity
- **NPI:** 1619631140 (Entity type: Organization)
- **Enumerated:** October 30, 2021
- **Primary specialty:** Chiropractor - Sports Physician · taxonomy 111NS0005X
- **Organization subpart:** No
- **Authorized official:** Thomas Watt, OWNER OPERATOR
## Practice location
- **Address:** 609 ATTAIN ST STE 141, Fuquay Varina, NC 27526-1987
- **Phone:** (330) 447-7234
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, North Carolina, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **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:** February 16, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1619631140) · Data from the CMS NPPES public registry.