Susan Neely Berry, D.C.
Individual provider Active NPI Chiropractor · Flowood, MS
NPI 1003139692 · NPPES record last updated Sep 14, 2022
Key facts
- NPI
- 1003139692
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1153 (MS)
- Practice address
- 2470 Flowood Dr
Suite 125
Flowood, MS 39232-9019 - Phone
- (601) 932-9201
- NPI assigned
- Mar 10, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cefalu Chiropractic Services of Madison LLC
Practice addresses (Care Compare)
2470 Flowood Dr
Suite 125
Flowood, MS 39232-9019
Phone (601) 932-9201
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100728000023 | MS | Practitioner - Chiropractic | 2466585468 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles (2 of 13)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cefalu Chiropractic Services of Madison, LLC | Chiropractor | Current |
Accepting new patients |
| Berry Chiropractic Family and Sports Rehabilitation Center, LLC | Chiropractor | Past |
Accepting new patients |
Locations
2470 Flowood Dr
#125
Flowood, MS 39232
Phone (601) 932-9201
2470 Flowood Dr
Jackson, MS 39232
Phone (601) 291-1407
Networks
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- LA PPO C-SNP
- MS PPO
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- AL HMO
- AL HMO D-SNP
- TN PPO C-SNP
- MS PPO C-SNP
- MS PPO D-SNP
- TN PPO
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1153 | MS | Yes |
Addresses
Primary practice location
2470 Flowood Dr
Suite 125
Flowood, MS 39232-9019
Mailing address
2470 Flowood Dr
Suite 125
Flowood, MS 39232-9019
Phone (601) 932-9201
Other providers in Flowood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.