DR. JERREN KEITH STINES
NPI 1881234763
Chiropractor in Fort Mill, SC
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
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jerren Keith Stines is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jerren Stines reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Mill, SC 29715
- Reassigned Medicare billing, South Carolina enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Jerren Stines's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jerren Stines reassigns Medicare benefits to Vibrant Family Chiropractic LLC (Fort Mill, SC). The 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 Jerren Stines's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 18 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.
# Dr. Jerren Keith Stines · NPI 1881234763
Chiropractor provider in Fort Mill, South Carolina. Individual provider, active in the CMS NPPES registry since January 8, 2020.
## Identity
- **NPI:** 1881234763 (Entity type: Individual)
- **Enumerated:** January 8, 2020
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 4519 (South Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 506 MERCANTILE PL STE 105, Fort Mill, SC 29715-2094
- **Phone:** (803) 548-6900
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Vibrant Family Chiropractic LLC (NPI 1568034627, Fort Mill, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** April 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1881234763) · Data from the CMS NPPES public registry.