HEALTH SOURCE OF JAMES ISLAND
NPI 1871894816
Chiropractor in Charleston, SC

Q: What is The Sublime Spine, LLC's NPI number?

The NPI number for The Sublime Spine, LLC is 1871894816. It was assigned to this organization in the NPPES registry on November 8, 2010. The provider is doing business as Health Source Of James Island.

Q: What is The Sublime Spine, LLC's specialty?

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

Active since November 08, 2010

1175 FOLLY RD, SUITE E, CHARLESTON, SC 29412(843) 225-1236(843) 225-1237 Get Directions Write a Review

NPPES record last updated: November 8, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Health Source Of James Island NPPES

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

HEALTH SOURCE OF JAMES ISLAND (NPI 1871894816) is a healthcare organization registered as a chiropractor in Charleston, South Carolina and active in the NPI registry since November 2010. The organization lists Lee David Russo, Owner, as its authorized official.

NPPES Registry Identity

NPI1871894816

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameTHE SUBLIME SPINE, LLC

Location Address1175 FOLLY RD, SUITE ECharleston, SC 29412-4130

Mailing Address1175 Folly Rd, Suite ECharleston, SC 29412-4130 · (843) 225-1236 · Fax (843) 225-1237

Phone(843) 225-1236

Fax(843) 225-1237

Organization SubpartNo

Authorized OfficialLee David RussoOwner · (843) 225-1236

Enumeration DateNovember 8, 2010

✔ NPI 1871894816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in SC · 3605

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.

1175 FOLLY RD, Charleston, SC 29412

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Other Names 1

Doing Business AsHealth Source Of James Island

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)

Health Source Of James Island 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 Health Source Of James Island, which bills Medicare for the services this clinician delivers.

Clinician (1)

Lee Russo, D.C.

Chiropractic

NPI 1841407616

1175 FOLLY RD STE E
Charleston, SC 29412

(843) 225-1236

✔ 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 The Sublime Spine, LLC's NPI number?

The NPI number for The Sublime Spine, LLC is 1871894816. It was assigned to this organization in the NPPES registry on November 8, 2010. The provider is doing business as Health Source Of James Island.

Where is The Sublime Spine, LLC located?

The Sublime Spine, LLC is located at 1175 Folly Rd Suite E, Charleston, SC 29412. The listed phone number is (843) 225-1236.

What is The Sublime Spine, LLC's specialty?

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

Is The Sublime Spine, LLC enrolled in Medicare?

Yes. The Sublime Spine, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Sublime Spine, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to The Sublime Spine, 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 The Sublime Spine, LLC was last updated on November 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.