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DR. JERREN KEITH STINES
NPI 1881234763
Chiropractor in Fort Mill, SC

Active since January 08, 2020
506 MERCANTILE PL STE 105, FORT MILL, SC 29715(803) 548-6900 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 3, 2024, Jun 24, 2020, Jan 8, 2020 (3 updates tracked since 2020).

About Dr. Jerren Keith Stines NPPES

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

DR. JERREN KEITH STINES (NPI 1881234763) is an individual chiropractor in Fort Mill, South Carolina, licensed in South Carolina (4519) and active in the NPI registry since January 2020. He is a graduate of Other (2019).

NPPES Registry Identity

NPI1881234763
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JERREN KEITH STINES
Location Address506 MERCANTILE PL STE 105Fort Mill, SC 29715-2094
Mailing Address506 Mercantile Pl Ste 105Fort Mill, SC 29715-2094 · (803) 648-6900
Phone(803) 548-6900
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 8, 2020
Last NPPES UpdateApril 16, 20253 updates tracked since enumeration
NPPES CertifiedApril 16, 2025
✔ NPI 1881234763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in SC · 4519
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.
506 MERCANTILE PL STE 105, Fort Mill, SC 29715
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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, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jerren Keith Stines is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870923659
PECOS Enrollment IDI20200417002851

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VIBRANT FAMILY CHIROPRACTIC LLC
Chiropractor
506 MERCANTILE PL STE 105
FORT MILL, SC 29715
York County (201) 294-3887

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 Jerren Stines's NPI number?

The NPI number for Jerren Stines is 1881234763. It was assigned to this individual provider in the NPPES registry on January 8, 2020.

Where is Jerren Stines located?

Jerren Stines practices at 506 Mercantile Pl Ste 105, Fort Mill, SC 29715. The listed phone number is (803) 548-6900.

What is Jerren Stines's specialty?

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

Is Jerren Stines enrolled in Medicare?

Yes. Jerren Stines is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jerren Stines was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.