Advanced Chiropractic Center
Advanced Chiropractic Center is a healthcare organization registered as Chiropractor in Georgetown, SC, holding Type 2 (organization) NPI 1083882054 since 2008. The authorized official on file is Kenneth Jordan, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1083882054 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Advanced Chiropractic Center |
| Other name | <Unavail> |
| Practice address | 705 NORTH FRASER STREET, ADVANCED CHIROPRACTIC CENTER, Georgetown, SC, 29440 |
| Phone | 8435451396 |
| Fax | 8435278353 |
| Enumeration date | 2008-02-13 |
| Last updated in NPPES | 2008-07-16 |
Authorized official
| Name | Kenneth Jordan |
|---|---|
| Title | Owner |
| Phone | 8435451396 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 111N00000X | Chiropractor | Primary | 3056 | SC |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GCH507 | Other | SC | MEDICAID GRP # |
| CH3056 | Medicaid | SC | — |
Copy-ready billing details
Provider: Advanced Chiropractic Center NPI: 1083882054 Taxonomy: 111N00000X (Chiropractor) Address: 705 NORTH FRASER STREET, ADVANCED CHIROPRACTIC CENTER, Georgetown, SC, 29440
Verify this record
Cross-check NPI 1083882054 against the authoritative CMS record: view Advanced Chiropractic Center on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Advanced Chiropractic Center?
Who is the authorized official for Advanced Chiropractic Center?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-07-16.