Katanya D Ford, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

001162 Issued in MS

Practice address

1243 28TH St Ste a
Gulfport, MS 39501-6203

Phone

(228) 357-5585

Fax

(228) 357-5655

NPI assigned

Oct 19, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jernigan Chiropractic Clinic IncGroup PAC ID 6103895545, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• LA PPO C-SNP

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jernigan Chiropractic Clinic Inc

  • Multi-Specialty Clinic/Center
  • Gulfport, MS
  • NPI 1275701781

  Chiropractor

  Medicare reassignment Care Compare group NPD
• D. L. Moore & Associates, Inc

  • Chiropractor
  • Carriere, MS
  • NPI 1235319567
  Medicare reassignment NPD
• D. L. Moore & Associates, Inc

  • Chiropractor
  • Purvis, MS
  • NPI 1679176614
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1083999130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3182",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395053182",
            "telephone_number": "228-331-2035",
            "fax_number": "228-831-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 28TH ST STE A",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395016203",
            "telephone_number": "228-357-5585",
            "fax_number": "228-357-5655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16197 Landon Rd",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395034121",
            "country_code": "US",
            "telephone_number": "228-331-2035",
            "fax_number": "228-831-0807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD",
        "first_name": "KATANYA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "001162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• FMS Gulfport, LLC
• Rhonda Foles, NP
• Theresa Foley, LCSW
• Roy Bennett Fontenot
• Christy Fontes, DNP
• Candice Forde, D.C.
• Justin Forde, D.C.
• Zackary Fordham, MD
• Ariel Nicole Fore
• Nicholas Embey Fore

• Chiropractor in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Chiropractor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.