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DR. AMBER MARIE PEDERSON D.C.
NPI 1932599693
Chiropractor in Lake Wylie, SC

Active since February 02, 2015
244 LATITUDE LN, UNIT 104, LAKE WYLIE, SC 29710(803) 831-6500(803) 831-6383 Get Directions Write a Review

NPPES record last updated: February 2, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Amber Marie Pederson D.c. NPPES

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

DR. AMBER MARIE PEDERSON D.C. (NPI 1932599693) is an individual chiropractor in Lake Wylie, South Carolina, licensed in South Carolina (4011) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1932599693
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. AMBER MARIE PEDERSONCredential: D.C.
Location Address244 LATITUDE LN, UNIT 104Lake Wylie, SC 29710-8124
Mailing Address244 Latitude Ln, Unit 104Lake Wylie, SC 29710-8124 · (803) 831-6500 · Fax (803) 831-6383
Phone(803) 831-6500
Fax(803) 831-6383
Sole ProprietorNo
Enumeration DateFebruary 2, 2015
✔ NPI 1932599693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in SC · 4011
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, Lake Wylie, SC 29710
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Amber Marie Pederson D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Amber Pederson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lake Wylie Family Chiropractic Inc.
Same address
Chiropractor
244 LATITUDE LN, SUITE 104
Clover, SC 29710
  • Reassigned Medicare billing, South Carolina enrollment
  • 2 clinicians in this Medicare group
NPI 1891893798 (803) 831-6500

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 3

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

DR. ALAN DAVID HARTLEY PH.D., DC
Chiropractor
244 LATITUDE LN, SUITE 104
LAKE WYLIE, SC 29710
York County (803) 831-6500
LAKE WYLIE FAMILY CHIROPRACTIC INC.
Chiropractor
244 LATITUDE LN, SUITE 104
CLOVER, SC 29710
York County (803) 831-6500
DR. VANESSA N VARGAS DMD
Dentist (General Practice)
244 LATITUDE LN, SUITE 103
CLOVER, SC 29710
York County (803) 810-2211

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 Amber Pederson's NPI number?

The NPI number for Amber Pederson is 1932599693. It was assigned to this individual provider in the NPPES registry on February 2, 2015.

Where is Amber Pederson located?

Amber Pederson practices at 244 Latitude Ln Unit 104, Lake Wylie, SC 29710. The listed phone number is (803) 831-6500.

What is Amber Pederson's specialty?

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

Is Amber Pederson enrolled in Medicare?

Yes. Amber Pederson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amber Pederson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amber Pederson reassigns Medicare benefits to Lake Wylie Family Chiropractic Inc. (Clover, 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 Amber Pederson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amber Pederson accept?

Health plans from First Choice Next list Amber Pederson 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 Amber Pederson was last updated on February 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.