Jeremy Todd Jernigan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1065 Issued in MS

Practice address

2045 E Pass Rd Ste B
Gulfport, MS 39507-3761

Phone

(228) 896-7574

Fax

(228) 896-7579

NPI assigned

Feb 6, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 2004

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

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 Authorized official
• Jernigan Chiropractic Clinic Os

  • Chiropractor
  • Ocean Springs, MS
  • NPI 1477365765
  Medicare reassignment NPD

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1194864165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 E PASS RD STE B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395073761",
            "telephone_number": "228-896-7574",
            "fax_number": "228-896-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 E PASS RD STE B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395073761",
            "telephone_number": "228-896-7574",
            "fax_number": "228-896-7579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERNIGAN",
        "first_name": "JEREMY",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "342005143",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffery Y. Taylor, DMD, PA
• Heather Lyn Jeffrey
• Jeremy W Owens, MD, PC
• Jernigan Chiropractic Clinic Inc
• Grant Jernigan
• Jessica M Baskett
• Joan S Waldroup, LCSW, PLLC
• Janelle E Joe, PHARM. D.
• Joel B. Burwell D.O. P.a.
• John S. Clark, Apdc

• 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 Mar 15, 2023; 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.