SOUTH MAIN CHIROPRACTIC CLINIC
NPI 1811174139
Chiropractor in High Point, NC
About South Main Chiropractic Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH MAIN CHIROPRACTIC CLINIC (NPI 1811174139) is a healthcare organization registered as a chiropractor in High Point, North Carolina and active in the NPI registry since January 2008. The organization lists Cynthia L. Bullard-kelley, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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)
South Main Chiropractic Clinic 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 Main Chiropractic Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Main Chiropractic Clinic's NPI number?
The NPI number for South Main Chiropractic Clinic is 1811174139. It was assigned to this organization in the NPPES registry on January 29, 2008.
Where is South Main Chiropractic Clinic located?
South Main Chiropractic Clinic is located at 1920 S Main St, High Point, NC 27260. The listed phone number is (336) 885-5200.
What is South Main Chiropractic Clinic's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is South Main Chiropractic Clinic enrolled in Medicare?
Yes. South Main Chiropractic Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through South Main Chiropractic Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to South Main Chiropractic Clinic. 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 Main Chiropractic Clinic was last updated on January 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# South Main Chiropractic Clinic · NPI 1811174139
Chiropractor organization in High Point, North Carolina. Organization record, active in the CMS NPPES registry since January 29, 2008.
## Identity
- **NPI:** 1811174139 (Entity type: Organization)
- **Enumerated:** January 29, 2008
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Cynthia Bullard-Kelley, OWNER
## Practice location
- **Address:** 1920 S MAIN ST, High Point, NC 27260-4425
- **Phone:** (336) 885-5200 · **Fax:** (336) 885-5250
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 29, 2008
- **Other identifiers:** Other 0827K (NC); Medicare PIN 2448655 (NC); Medicaid 890827K (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1811174139) · Data from the CMS NPPES public registry.