Jeremy Scott Jordan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1061 Issued in MS

Practice address

2718 Walton Dr
Ocean Springs, MS 39564-5424

Phone

(228) 860-8868

NPI assigned

Dec 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

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.

• Cornerstone Chiropractic PLLC

  • Chiropractor
  • Wiggins, MS
  • NPI 1720530033
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1124180153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2718 WALTON DR",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645424",
            "telephone_number": "228-860-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2718 WALTON DR",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645424",
            "telephone_number": "228-860-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "JEREMY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS DOCTORATE OF CHIROPRACTIC LICENSE NUMBER",
            "identifier": "1061",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03356557",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shedra Johnson
• Katelyn S Johnston, CRNA
• Garris Nicole Jones, PT
• Hannah Renee Jones
• Kenneth Jones
• Natalie Lynn Jordan, LMSW
• Joseph Paul Vice MD PLLC
• Courtney Dionne-Marie Joseph, PHARMD
• Dorothy Holmes Jumpiere
• Philip T Jung

• Chiropractor in Ocean Springs, MS
• Providers in Ocean Springs, MS by specialty
• Chiropractor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.