GETWELL CHIROPRACTIC PC (NPI# 1295995728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295995728 |
| Entity Type | Organization |
| Organization Name | GETWELL CHIROPRACTIC PC |
| Other Organization Name | HEALTHSOURCE OF SOUTHAVEN |
| Practice Address |
5740 Getwell Rd Building 4a Southaven MS 38672-7326 |
| Mailing Address |
4645 Golden West Cv Southaven MS 38671-5048 |
| Practice Telephone | 6626715255 |
| Mailing Telephone | 6626715255 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |
| Authorized Official Name | DR. VINCENT LAMONTE HENDERSON (OWNER) |
| Authorized Official Telephone | 6626715255 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1129 | MS | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Healthsource of Southaven | Doing Business As Name - Organization |
| Street Address |
5740 GETWELL RD BUILDING 4A |
| City | SOUTHAVEN |
| State | MS |
| Zip Code | 38672-7326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184796203 | Savira Virk Sidhu | Psychiatry & Neurology | 5740 Getwell Rd, Bldg 4c, Southaven, MS 38672-6346 | 2006-11-14 |
| 1326533175 | The Women's Clinic At The Grove | Clinic/Center | 5740 Getwell Rd, Building 1, Suite B, Southaven, MS 38672 | 2018-06-25 |
| 1205200920 | Abide Endodontics | Clinic/Center | 5740 Getwell Rd, Bldg. 3a, Southaven, MS 38672-6346 | 2015-11-18 |
| 1841499340 | Andrew Elias Abide Jr. | Dentist | 5740 Getwell Rd, Bld 3, Unit A, Southaven, MS 38672-6346 | 2007-07-13 |
| 1912114802 | Sleep Unlimited Inc | Clinic/Center | 5740 Getwell Rd, Bldg 6 Suite D, Southaven, MS 38672-6346 | 2007-05-17 |
| 1386860898 | Wellness Clinic, P.C. | Psychologist | 5740 Getwell Rd, Bldg 4c, Southaven, MS 38672-6346 | 2007-04-17 |
| 1689710402 | Jennifer B Fredrickson | Nurse Practitioner | 5740 Getwell Rd, Building 1, Suite B, Southaven, MS 38672 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100826 | Sarah Kathryn Pratt | Physical Therapist | 5271 Getwell Road, Suite A, Southaven, MS 38672 | 2020-09-24 |
| 1356713606 | Deadra Dennis | Behavioral Analyst | 2816 Calico Rock Cv, Southaven, MS 38672 | 2015-10-27 |
| 1568727352 | Patricia Leanne Lewis | Family Medicine | 5908 Getwell Rd, Southaven, MS 38672 | 2012-07-09 |
| 1417183922 | Mississippi Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2945 Goodman Road East, Southaven, MS 38672 | 2009-06-10 |
| 1568609998 | Susan Orsland | Physical Therapist | 4355 Genevieve Drive, Southaven, MS 38672 | 2009-01-07 |
| 1659516524 | Stacy L Sanders | Audiologist | 5740 Getwell Rd. Building 3 Unit B, Southaven, MS 38672 | 2008-12-08 |
| 1295927226 | Tracey F Petrides | Family Medicine | 5779 Getwell Road, Building D, Suite 3, Southaven, MS 38672 | 2007-08-14 |
| 1538288741 | Bruce A Denney | Dentist | 7125 Getwell Road, Suite 102, Southaven, MS 38672 | 2007-03-28 |
| 1154480150 | Kimberly Marie Metcalf | Social Worker | 7165-g Getwell Rd., Southaven, MS 38672 | 2006-12-06 |
| 1346318441 | Deborah Verucchi | Nurse Practitioner | 5740 Getwell Rd Ste B, Southaven, MS 38672 | 2006-11-30 |
| Find all providers in zip 38672 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417251646 | Terri Darlene Gatton | Chiropractor | 1330 Goodman Rd E Ste 1, Southaven, MS 38671-5104 | 2011-01-03 |
| 1669790523 | Shawn D Wanderaas | Chiropractor | 1134 Church Road, Southaven, MS 38671 | 2010-05-17 |
| 1740423045 | Herbert Leon Brewer IIi | Chiropractor | 9067 Highway 51 N, Southaven, MS 38671-1230 | 2009-04-16 |
| 1720106875 | Bradley S Thompson Family Limited Partnership No One | Chiropractor | 7464 Tchulahoma Road, Southaven, MS 38671 | 2007-03-27 |
| 1376660688 | Dr. Steve Tencer | Chiropractor | 384 Goodman Rd E, Suite 162, Southaven, MS 38671-9522 | 2007-03-23 |
| 1437245107 | Paul Timothy Martin | Chiropractor | 9040 Millbranch Rd, Southaven, MS 38671-1420 | 2006-10-04 |
| 1407940174 | Darrell Duane Barnes | Chiropractor | 919 Ferncliff Cove #5, Southaven, MS 38671 | 2006-10-03 |
| 1396838157 | Mary Karen Martin | Chiropractor | 7464 Tchulahoma Rd, Southaven, MS 38671-9249 | 2006-10-02 |
| 1225120843 | David Michael Bakeris | Chiropractor | 6898 Elmore Rd, Southaven, MS 38671 | 2006-09-29 |
| 1093814170 | Trevor Lamar Qualls | Chiropractor | 7651 Tchulahoma Rd, Southaven, MS 38671-9227 | 2006-09-22 |
| Find all providers in SOUTHAVEN | ||||
Please comment or provide details below to improve the information on GETWELL CHIROPRACTIC PC.
| 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.