MID-SOUTH CHIROPRACTIC, LLC (NPI# 1972544344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972544344 |
| Entity Type | Organization |
| Organization Name | MID-SOUTH CHIROPRACTIC, LLC |
| Other Organization Name | MIDSOUTH CHIROPRACTIC & THERAPEUTIC MASSAGE |
| Practice Address |
6253 Goodman Road Suite A & B Olive Branch MS 38654-9391 |
| Practice Telephone | 6628900012 |
| Practice Fax Number | 6628900522 |
| Mailing Telephone | 6628900012 |
| Mailing Fax Number | 6628900522 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2012-04-02 |
| Authorized Official Name | WILLIAM LAWTON ALLEN (CHIROPRACTOR) |
| Authorized Official Telephone | 6628900012 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1518 | MS | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED HEALTH CARE | 701292 | 01 | |
| GE WELLNESS PLAN | 701292 | 01 | |
| MS | BLUE CROSS BLUE SHIELD MS | 409574769 | 01 |
| BLUE CROSS BLUE SHIELD TN | 4131570 | 01 | |
| GOLDEN RULE | 701292 | 01 | |
| AETNA | 7696844 | 01 | |
| CIGNA | 0111474 | 01 |
| Other Name | Type Code |
|---|---|
| MidSouth Chiropractic & Therapeutic Massage | Doing Business As Name - Organization |
| Street Address |
6253 GOODMAN ROAD SUITE A & B |
| City | OLIVE BRANCH |
| State | MS |
| Zip Code | 38654-9391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093366213 | Latonya Shontae Binion | Home Health | 5915 Brice Cove North, Olive Branch, MS 38654 | 2019-09-28 |
| 1356828677 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 688 Goodman Rd, Ste 123, Olive Branch, MS 38654 | 2018-07-20 |
| 1629565684 | Alexis Summerville Mcdavis | Pharmacist | 7950 Craft Goodman Frontage Rd, Olive Branch, MS 38654 | 2018-04-16 |
| 1194237206 | Exos Physical Therapy and Sports Medicine, LLC | Physical Therapist | 6542 Goodman Rd, Olive Branch, MS 38654 | 2017-10-30 |
| 1609386515 | Laken Hood Richardson | Physical Therapist | 9085 East Sandidge Cove, Suite 250, Olive Branch, MS 38654 | 2017-10-05 |
| 1275064255 | Heart of Hospice, LLC | Hospice Care, Community Based | 9849 Highway 178 Unit B, Olive Branch, MS 38654 | 2017-03-22 |
| 1023557865 | Michael Patrick Mccallum | Counselor | 9320 Railroad Ave., Olive Branch, MS 38654 | 2017-02-13 |
| 1891179768 | Desoto Children's Clinic - Olive Branch | Pediatrics | 7145 Goodman Road, Olive Branch, MS 38654 | 2015-07-10 |
| 1891185203 | Kristina Harper | Midwife | 9086 Pigeon Roost Rd Ste C, Olive Branch, MS 38654 | 2015-01-23 |
| 1275955098 | Global Medical | Durable Medical Equipment & Medical Supplies | 6229 Hwy 305 Ste L, Olivebranch, MS 38654 | 2014-01-14 |
| Find all providers in zip 38654 | ||||
| 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 |
|---|---|---|---|---|
| 1285158378 | Kimberly Ramcharan | Chiropractor | 6942 Autumn Oaks Dr Ste A, Olive Branch, MS 38654-9379 | 2017-07-31 |
| 1891030631 | Chiropractic Evolved LLC | Chiropractor | 7164 Hacks Cross Rd Ste 110, Olive Branch, MS 38654-3907 | 2012-12-05 |
| 1881965283 | Desutter Chiropractic Clinic, Inc. | Chiropractor | 9659 Goodman Rd, Olive Branch, MS 38654-1725 | 2012-01-18 |
| 1952531808 | Fred Gaddis Woods | Chiropractor | 5036 Goodman Rd. Ste 110, Olive Branch, MS 38654 | 2009-07-24 |
| 1326185638 | Richard Edward Warden II | Chiropractor | 8912 Midsouth Ave, Olive Branch, MS 38654-2922 | 2007-01-30 |
| 1780791202 | John Henry Desutter | Chiropractor | 9659 E. Goodman Ave, Olive Branch, MS 38654 | 2006-08-23 |
| 1629010467 | Nikolas Ramone Chillies | Chiropractor | 6253 Goodman Rd, Suite A & B, Olive Branch, MS 38654-9391 | 2006-06-12 |
| 1346239290 | Brian Keith Henry | Chiropractor | 8820 Goodman Rd, Olive Branch, MS 38654-2204 | 2005-10-13 |
| 1366085003 | Yolanda Brannon | Chiropractor | 6942 Autumn Oaks Dr Ste A, Olive Branch, MS 38654-9379 | 2019-10-25 |
| 1851871818 | Shiquita White | Chiropractor | 6942 Autumn Oaks Dr Ste A, Olive Branch, MS 38654-9379 | 2018-08-20 |
| Find all providers in OLIVE BRANCH | ||||
| City | OLIVE BRANCH |
| Zip Code | 38654 |
Please comment or provide details below to improve the information on MID-SOUTH CHIROPRACTIC, LLC.
| 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.