Active NPI
Dorothey Erin Jacobs Stagner, D. C.
- Chiropractor
- Greenwood, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1103
- Practice address
- 805 W Park Ave Ste 5a
Greenwood, MS 38930-2832 - Phone
- (662) 374-5252
- NPI assigned
- Mar 5, 2007
- Last updated
- Sep 29, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1103 | MS | Primary |
Addresses
Primary practice location
805 W Park Ave Ste 5a
Greenwood, MS 38930-2832
Mailing address
PO Box 10405
Greenwood, MS 38930-0405
Phone (662) 374-5252
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07922069 | Medicaid | MS |
Other names 1
- Dr. Dorothey E Jacobs
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
- Logan College of Chiropractic, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
805 W Park Ave
Suite 5a
Greenwood, MS 38930-2832
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1103 | MS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr D Erin Jacobs DC PA | Chiropractor | Current | Accepting new patients |
| Marvel Laboratories, LLC | Past | Accepting new patients | |
| Dr. Dorothey a. Pernell, D. C., P. a. | Chiropractor | Past | Accepting new patients |
Locations
1600 Highway 82 W
Ste 200
Greenwood, MS 38930
Phone (662) 453-2949
805 W Park Ave
Ste 5A
Greenwood, MS 38930
Phone (337) 842-2257
101 S Natchez St
Kosciusko, MS 39090
Phone (662) 374-5252
Organizations & group practices 3
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
- Greenwood, MS
- NPI 1386958718
-
- Chiropractor
- Greenwood, MS
- NPI 1902075963
-
- Clinical Medical Laboratory
- Greenwood, MS
- NPI 1275073405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1245369917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10405",
"city": "GREENWOOD",
"state": "MS",
"postal_code": "389300405",
"telephone_number": "662-374-5252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 W PARK AVE STE 5A",
"city": "GREENWOOD",
"state": "MS",
"postal_code": "389302832",
"telephone_number": "662-374-5252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS STAGNER",
"first_name": "DOROTHEY",
"middle_name": "ERIN",
"name_prefix": "Dr.",
"credential": "D. C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2026-09-29",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MS",
"license": "1103",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07922069",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DOROTHEY",
"last_name": "JACOBS",
"middle_name": "E",
"prefix": "DR.",
"credential": "DC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Greenwood, 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.