Active NPI
Trecia Sue Johnson, DC
- Chiropractor
- Columbus, MS
National Provider Identifier
1154407989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 961
- Practice address
- 613 18TH Ave No
Columbus, MS 39701 - Phone
- (662) 327-8232
- Fax
- (662) 328-6794
- NPI assigned
- Oct 27, 2006
- Last updated
- Jan 4, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 961 | MS | Primary |
| Chiropractor | 111N00000X | 390 | AK |
Addresses
Primary practice location
613 18TH Ave No
Columbus, MS 39701
Mailing address
613 18TH Ave No
Columbus, MS 39701
Phone (662) 327-8232
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C02511 | Other | MC GROUP ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
613 18TH N Ave
Columbus, MS 39701-2237
Phone (662) 327-8232
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 961 | MS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Health Center., PLLC | Chiropractor | Current | Accepting new patients |
Locations
613 18th Ave N
Columbus, MS 39701
Phone (662) 327-8232
Organizations & group practices 1
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.
-
- Chiropractor
- Columbus, MS
- NPI 1275718249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199404800000",
"number": "1154407989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "613 18TH AVE NO",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "39701",
"telephone_number": "662-327-8232",
"fax_number": "662-328-6794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 18TH AVE NO",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "39701",
"telephone_number": "662-327-8232",
"fax_number": "662-328-6794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "TRECIA",
"middle_name": "SUE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2008-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MS",
"license": "961",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AK",
"license": "390",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MC GROUP ID",
"identifier": "C02511",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; 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.