LAKE WYLIE FAMILY CHIROPRACTIC INC.
NPI 1891893798
Chiropractor in Clover, SC

Q: What is Lake Wylie Family Chiropractic Inc.'s NPI number?

The NPI number for Lake Wylie Family Chiropractic Inc. is 1891893798. It was assigned to this organization in the NPPES registry on September 21, 2006.

Q: What is Lake Wylie Family Chiropractic Inc.'s specialty?

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

Active since September 21, 2006

244 LATITUDE LN, SUITE 104, CLOVER, SC 29710(803) 831-6500(803) 831-6383 Get Directions Write a Review

NPPES record last updated: September 11, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Lake Wylie Family Chiropractic Inc. NPPES

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

LAKE WYLIE FAMILY CHIROPRACTIC INC. (NPI 1891893798) is a healthcare organization registered as a chiropractor in Clover, South Carolina and active in the NPI registry since September 2006. The organization lists Alan D Hartley, President, as its authorized official.

NPPES Registry Identity

NPI1891893798

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameLAKE WYLIE FAMILY CHIROPRACTIC INC.

Location Address244 LATITUDE LN, SUITE 104Clover, SC 29710-8124

Mailing Address244 Latitude Ln, Suite 104Clover, SC 29710-8124 · (803) 831-6500 · Fax (803) 831-6383

Phone(803) 831-6500

Fax(803) 831-6383

Organization SubpartNo

Authorized OfficialAlan D HartleyPresident · (803) 831-6500

Enumeration DateSeptember 21, 2006

Last NPPES UpdateSeptember 11, 2012

✔ NPI 1891893798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in SC · 2361

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.

244 LATITUDE LN, Clover, SC 29710

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Other Identifiers 4

Medicare ID-Type UnspecifiedU840598621SC

Medicare UPINU84059SC

MedicaidCH2361SC

MedicaidGCH347SC

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next, InStil Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lake Wylie Family Chiropractic Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Lake Wylie Family Chiropractic Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Amber Pederson, D.C.

Chiropractic

NPI 1932599693

244 LATITUDE LN UNIT 104
Lake Wylie, SC 29710

(803) 831-6500

Same address

Jeffery Awender, D.C.

Chiropractic

NPI 1184600306

75 MYRTLE AVE
Morgan Hill, CA 95037

(408) 909-7246

✔ Accepts Medicare2,256 mi

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 Lake Wylie Family Chiropractic Inc.'s NPI number?

The NPI number for Lake Wylie Family Chiropractic Inc. is 1891893798. It was assigned to this organization in the NPPES registry on September 21, 2006.

Where is Lake Wylie Family Chiropractic Inc. located?

Lake Wylie Family Chiropractic Inc. is located at 244 Latitude Ln Suite 104, Clover, SC 29710. The listed phone number is (803) 831-6500.

What is Lake Wylie Family Chiropractic Inc.'s specialty?

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

Is Lake Wylie Family Chiropractic Inc. enrolled in Medicare?

Yes. Lake Wylie Family Chiropractic Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lake Wylie Family Chiropractic Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Lake Wylie Family Chiropractic Inc.. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lake Wylie Family Chiropractic Inc. accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next and InStil Health list Lake Wylie Family Chiropractic Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lake Wylie Family Chiropractic Inc. was last updated on September 11, 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.