Evergreen Family Chiropractic, LLC
NPI 1639691835ActiveOrganization· Chiropractor· Mauldin, SC
Chiropractor in Mauldin, South Carolina, registered in NPPES in July 2017. The authorized official on file is Carolyn M. Desimone, DC, Chiropractor/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1639691835 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 10, 2017 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (SC) |
|---|
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