GAUTIER CHIROPRACTIC GROUP (NPI# 1467707257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467707257 |
| Entity Type | Organization |
| Organization Name | GAUTIER CHIROPRACTIC GROUP |
| Practice Address |
3105 Shaw Drive Gautier MS 39553-5507 |
| Practice Telephone | 2282025106 |
| Practice Fax Number | 2282025107 |
| Mailing Telephone | 2282025106 |
| Mailing Fax Number | 2282025107 |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-07-17 |
| Authorized Official Name | MR. GROVER DALE JOHNSON (DIRECTOR) |
| Authorized Official Telephone | 2282025106 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 415 | MS | Chiropractic Providers |
| Street Address |
3105 SHAW DRIVE |
| City | GAUTIER |
| State | MS |
| Zip Code | 39553-5507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205465044 | Loggan Malone | Dentist | 2808 Us-90 W, Gautier, MS 39553 | 2020-04-03 |
| 1770979775 | Catherine Durham | Counselor | 3407 Shamrock Dr., Gautier, MS 39553 | 2015-04-07 |
| 1851648836 | Pharmatex, LLC | Pharmacy | 4551-d Gautier Vancleave Road, Gautier, MS 39553 | 2012-08-09 |
| 1891957544 | David W Bonderer Dds Pllc | Dentist | 2808 Hwy 90, Suite 1, Gautier, MS 39553 | 2008-06-25 |
| 1790830313 | William D Parrish | Dentist | 713 Us Hwy 90, Gautier, MS 39553 | 2007-01-24 |
| 1073685830 | Jeffrey Lamone Knight | Dentist | 3105 Shaw Dr., Gautier, MS 39553 | 2006-11-15 |
| 1720178437 | Erica B Wilson | Counselor | 3704 Shamrock Court, Gautier, MS 39553 | 2006-10-13 |
| 1881781631 | James D Victory | Chiropractor | 315 Highway 90, Gautier, MS 39553 | 2006-10-05 |
| 1508959180 | Robert Douglas Holbert | Internal Medicine | 2105 Old Spanish Trail, Gautier, MS 39553 | 2006-10-02 |
| 1962508119 | Sentry-gautier, Inc. | Nursing Facility/Intermediate Care Facility | 5090 Gautier Vancleave Road, Gautier, MS 39553 | 2006-09-15 |
| Find all providers in zip 39553 | ||||
| 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 |
|---|---|---|---|---|
| 1881781631 | James D Victory | Chiropractor | 315 Highway 90, Gautier, MS 39553 | 2006-10-05 |
| 1447494950 | Victory Chiropractic Center | Chiropractor | 315 Highway 90, Gautier, MS 39553-6340 | 2009-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003429176 | Erik Goodwin | Chiropractor | 1 Goodwin Drive, Pontotoc, MS 38863 | 2020-08-28 |
| 1174133219 | Britt Chiropractic, LLC | Chiropractor | 2325a Martin Luther King Jr Dr, Columbus, MS 39705-2640 | 2020-08-04 |
| 1487297123 | Shelby Wittorf | Chiropractor | 370 Courthouse Rd Ste 101, Gulfport, MS 39507-1889 | 2019-10-25 |
| 1528626421 | O'quinn Chiropractic, Pllc | Chiropractor | 11 Woodstone Plz Ste B, Hattiesburg, MS 39402-8342 | 2019-06-05 |
| 1790244077 | Alexander Chiropractic LLC | Chiropractor | 1500 N Harper Rd Ste 2, Corinth, MS 38834-3700 | 2019-03-18 |
| 1962978056 | Moore Chiropractic Clinic Lumberton | Chiropractor | 203 W Main Ave, Lumberton, MS 39455-2527 | 2018-10-16 |
| 1740760552 | Herndon Chiropractic LLC | Chiropractor | 2087 Cliff Gookin Blvd, Tupelo, MS 38801-6724 | 2018-08-21 |
| 1518445444 | Mid South Chiropractic of Horn Lake Pllc | Chiropractor | 2085 Goodman Rd W Ste 80, Horn Lake, MS 38637-1416 | 2018-08-02 |
| 1104312735 | Anthony William Lopez Jr. | Chiropractor | 15007 Creosote Rd Ste A, Gulfport, MS 39503-4392 | 2018-07-06 |
| 1023507746 | Jeremy Leumun, Marquis Coleman | Chiropractor | 5295 Galaxie Dr Ste C, Jackson, MS 39206-4337 | 2018-05-08 |
| 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.