ADVANTAGE CHIROPRACTIC WELLNESS CENTER LLC
NPI 1700143583
Chiropractor in Clemson, SC

Active since April 18, 2012
120 STRODE CIR, CLEMSON, SC 29631(864) 624-9355(864) 624-9356 Get Directions Write a Review

NPPES record last updated: April 19, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Advantage Chiropractic Wellness Center Llc NPPES

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

ADVANTAGE CHIROPRACTIC WELLNESS CENTER LLC (NPI 1700143583) is a healthcare organization registered as a chiropractor in Clemson, South Carolina and active in the NPI registry since April 2012. The organization lists Kenneth A Gosnell, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1700143583
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameADVANTAGE CHIROPRACTIC WELLNESS CENTER LLC
Location Address120 STRODE CIRClemson, SC 29631-1484
Mailing AddressPo Box 1007Clemson, SC 29633-1007 · (864) 624-9355 · Fax (864) 624-9356
Fax(864) 624-9356
Organization SubpartNo
Authorized OfficialKenneth A GosnellSole Member · (864) 624-9355
Enumeration DateApril 18, 2012
Last NPPES UpdateApril 19, 2012
✔ NPI 1700143583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in SC · SC2047
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.
120 STRODE CIR, Clemson, SC 29631

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)

Advantage Chiropractic 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 1 clinician reassigns Medicare billing to Advantage Chiropractic Wellness Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1104815653
120 STRODE CIR
Clemson, SC 29631
(864) 624-9355
✔ 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 Advantage Chiropractic Wellness Center LLC's NPI number?

The NPI number for Advantage Chiropractic Wellness Center LLC is 1700143583. It was assigned to this organization in the NPPES registry on April 18, 2012.

Where is Advantage Chiropractic Wellness Center LLC located?

Advantage Chiropractic Wellness Center LLC is located at 120 Strode Cir, Clemson, SC 29631. The listed phone number is (864) 624-9355.

What is Advantage Chiropractic Wellness Center LLC's specialty?

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

Is Advantage Chiropractic Wellness Center LLC enrolled in Medicare?

Yes. Advantage Chiropractic Wellness Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advantage Chiropractic Wellness Center LLC?

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

When was this NPI record last updated?

The NPPES record for Advantage Chiropractic Wellness Center LLC was last updated on April 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.