Organization Active NPI

Giust Chiropractic Center, P.a.

  • Chiropractor
  • Brookhaven, MS
National Provider Identifier
1154608792
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0769 Issued in MS
Legal business name
GIUST CHIROPRACTIC CENTER, P.A.
Practice address
880 Brookway Blvd
Brookhaven, MS 39601-2642
Phone
(601) 833-8100
Fax
(601) 833-3377
NPI assigned
Nov 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Authorized official

Name
Dr. Mark Steven Giust, D.C.NPI 1497846141
Title
President
Phone
(601) 833-8100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0769 MS Primary

Addresses

Primary practice location

880 Brookway Blvd
Brookhaven, MS 39601-2642

Mailing address

880 Brookway Blvd
Brookhaven, MS 39601-2642
Phone (601) 833-8100

Other identifiers 2

IdentifierTypeStateIssuer
284586898AOtherMSBLUE SHIELD 1500 ID
00115776MedicaidMS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120111000161 MS Part B Supplier - Clinic/Group Practice 2567639750 Receives reassigned benefits from 1 practitioner
Practice locations: Brookhaven, MS

National Provider Directory

National Provider Directory

Locations

450 Brookway Blvd
Brookhaven, MS 39601
Phone (601) 833-8100

880 Brookway Blvd
Brookhaven, MS 39601
Phone (601) 833-8100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1154608792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 BROOKWAY BLVD",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396012642",
            "telephone_number": "601-833-8100",
            "fax_number": "601-833-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 BROOKWAY BLVD",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396012642",
            "telephone_number": "601-833-8100",
            "fax_number": "601-833-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIUST CHIROPRACTIC CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-10",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "GIUST",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-833-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "0769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD 1500 ID",
            "identifier": "284586898A",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00115776",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.