ADVANCED CHIROPRACTIC CLINIC (NPI# 1255693602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255693602 |
| Entity Type | Organization |
| Organization Name | ADVANCED CHIROPRACTIC CLINIC |
| Other Organization Name | BACK & NECK PAIN CLINIC DR L C HUDDLESTON |
| Practice Address |
6500 Old Canton Rd Ridgeland MS 39157-1313 |
| Practice Telephone | 6019560010 |
| Mailing Telephone | 6019560010 |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-13 |
| Authorized Official Name | DR. LEO C HUDDLESTON (OWNER) |
| Authorized Official Telephone | 6019530010 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 624 | MS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00115050 | 05 |
| Other Name | Type Code |
|---|---|
| Back & Neck Pain Clinic Dr L C Huddleston | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225674591 | Advanced Chiropractic Clinic | Acupuncturist | 11020 S Pikes Peak Dr Ste 110, Parker, CO 80138-7413 | 2019-11-21 |
| 1326053869 | Advanced Chiropractic Clinic | Chiropractor | 3232 Krisam Creek Dr, Suite 200, Loganville, GA 30052-7992 | 2006-07-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ADVANCED CHIROPRACTIC CLINIC AND ACUPUNCTURE | 1150 W 24th St Ste F1, Yuma, AZ 85364-8368 |
| Colorado Business Entities | ADVANCED CHIROPRACTIC CLINIC, PROFESSIONAL LLC | 11020 S. Pikes Peak Dr., #110, Parker, CO 80138 |
| Street Address |
6500 OLD CANTON RD |
| City | RIDGELAND |
| State | MS |
| Zip Code | 39157-1313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609976810 | Leo C Huddleston | Chiropractor | 6500 Old Canton Rd, Ridgeland, MS 39157-1313 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631023 | Mychell Thomas | Licensed Practical Nurse | 199 Charmant Place, Ridgeland, MS 39157 | 2020-08-28 |
| 1225680945 | Verthena Edwards | Home Health | 301 Pinehurst Cir, N/a, Ridgeland, MS 39157 | 2019-07-12 |
| 1730663469 | Essential Touchtones | Psychologist | 210 W. Jackson Street, Ridgeland, MS 39157 | 2018-09-19 |
| 1841786365 | Whitney Paige Crum | Speech-Language Pathologist | Laskin Therapy Group Pa, 207 W Jackson St, Ridgeland, MS 39157 | 2018-07-09 |
| 1811487002 | Camille Brockett | Social Worker | 270 Trace Colony Park Dr Ste B, Ridgeland, MS 39157 | 2018-05-14 |
| 1588171177 | Layson Counseling Group, Pllc | Counselor | 573 Hwy 51 Suite B, Ridgeland, MS 39157 | 2018-01-04 |
| 1407376452 | Mobility Rehab LLC | Clinic/Center | 745 S Pear Orchard Road, Apt 335, Ridgeland, MS 39157 | 2017-06-21 |
| 1184165102 | Sinus and Allergy Institute Pllc | Otolaryngology | 1115 Highland Colony Parkway, Suite C, Ridgeland, MS 39157 | 2017-03-09 |
| 1093263410 | Natural Health Project LLC | General Practice | 555 Highway 51, Ridgeland, MS 39157 | 2016-09-14 |
| 1851755714 | Jerlunda Lynn Dudley | Social Worker | 511 Clark Street, Rosedale, MS 39157 | 2016-04-07 |
| Find all providers in zip 39157 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242097 | Traditions Hospice of Ridgeland, LLC | Clinic/Center | 680 Highway 51 Ste L, Ridgeland, MS 39157-2103 | 2020-10-14 |
| 1205067188 | Gary G. Bolton, M. D., P. A. | Clinic/Center | 305 Highland Park Cove, Ridgeland, MS 39157-6059 | 2009-07-27 |
| 1518191329 | Richard M Price Md Pa | Clinic/Center | 230 Trace Colony Park Dr Ste 2, Ridgeland, MS 39157 | 2009-05-07 |
| 1053743781 | Rogers Family Eye Care, LLC | Clinic/Center | 1200 E County Line Rd Ste 166, Ridgeland, MS 39157-1949 | 2013-08-05 |
| 1467680546 | Dermatology Consultants, Pllc | Clinic/Center | 768 Avery Blvd N, Ridgeland, MS 39157-5219 | 2009-06-26 |
| 1659306744 | Cella Denise Pinckney | Clinic/Center | 721 N Okatie Hwy, Ridgeland, SC 29936-8276 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080337 | Traditions Hospice of Biloxi, LLC | Clinic/Center | 243 Beauvoir Rd Ste B, Biloxi, MS 39531-4008 | 2020-10-15 |
| 1346848694 | Hayco LLC | Clinic/Center | 425 S Jackson St, Brookhaven, MS 39601-3817 | 2020-10-09 |
| 1023620135 | Neshoba County General Hospital-nursing Home | Clinic/Center | 406 Stribling St, Philadelphia, MS 39350-3344 | 2020-08-19 |
| 1023628245 | Durrett Health Care LLC | Clinic/Center | 1515 Munsford Dr, New Albany, MS 38652-7407 | 2020-08-03 |
| 1124644968 | First Choice Family Medical Clinic, LLC | Clinic/Center | 50 Highway 388, Brooksville, MS 39739 | 2020-06-17 |
| 1104447507 | Grace & Mercy Healthcare Center | Clinic/Center | 131 Lexington St, Pickens, MS 39146-3914 | 2020-04-27 |
| 1437788908 | Wellness Center | Clinic/Center | 1727 6th St, Meridian, MS 39301-5249 | 2020-04-06 |
| 1669018008 | Maximum Care After Hours Clinic, LLC | Clinic/Center | 212 Highway 61, Shaw, MS 38773-3877 | 2019-11-20 |
| 1598316895 | Florence Health Complex, LLC | Clinic/Center | 130 S Church St, Florence, MS 39073-8478 | 2019-09-27 |
| 1972150084 | Wound Management Specialists, LLC | Clinic/Center | 1190 N State St Ste 2a, Jackson, MS 39202-2413 | 2019-08-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.