Individual provider Active NPI

Stephen Boyd Hennington, D.C.

  • Chiropractor
  • McComb, MS
National Provider Identifier
1124116777
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1043 Issued in MS
Practice address
220 Scott Dr
McComb, MS 39648-3622
Phone
(601) 680-0371
Fax
(601) 680-0380
NPI assigned
Oct 10, 2006
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1043 MS Primary

Addresses

Primary practice location

220 Scott Dr
McComb, MS 39648-3622

Mailing address

220 Scott Dr
McComb, MS 39648-3622
Phone (601) 680-0371

Other identifiers 1

IdentifierTypeStateIssuer
1043OtherMSMS CHIROPRACTIC LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091223000416 MS Practitioner - Chiropractic 7911047915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

220 Scott Dr
McComb, MS 39648-3622
Phone (601) 680-0371

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1043MSMDAssisted Living Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Hennington Wellness Center LLC Chiropractor CurrentSince Oct 5, 2014 Accepting new patients
Tullos Chiropractic Clinic Chiropractor Past Accepting new patients
Restoration Chiropractic Inc. Chiropractor PastSince May 22, 2022 Accepting new patients

Locations

220 Scott Dr
McComb, MS 39648
Phone (601) 680-0371

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1124116777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SCOTT DR",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396483622",
            "telephone_number": "601-680-0371",
            "fax_number": "601-680-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SCOTT DR",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396483622",
            "telephone_number": "601-680-0371",
            "fax_number": "601-680-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNINGTON",
        "first_name": "STEPHEN",
        "middle_name": "BOYD",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS CHIROPRACTIC LICENSE",
            "identifier": "1043",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McComb, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.