Sophronia Stidwell, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1212 Issued in MS

Practice address

214 Caldwell Dr
Hazlehurst, MS 39083-2712

Phone

(601) 884-0557

Fax

(601) 623-9311

NPI assigned

Jul 26, 2013

Last updated

Dec 6, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

ChiropracticAlso: Internal Medicine

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Family Wellness & Chiropractic

  • Chiropractor
  • Hazlehurst, MS
  • NPI 1528578523
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1374796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1255773529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SANDIFER ST",
            "city": "HAZLEHURST",
            "state": "MS",
            "postal_code": "390838960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 CALDWELL DR",
            "city": "HAZLEHURST",
            "state": "MS",
            "postal_code": "390832712",
            "telephone_number": "601-884-0557",
            "fax_number": "601-623-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIDWELL",
        "first_name": "SOPHRONIA",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-26",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Remonica Smith
• Katrina Martinez Smythe, PHARM. D
• Southwest Pharmacy, Inc. (Guy's Pharmacy of Hazlehurst)
• Timothy Aaron Stanley, LCMHT
• Marcus Jermaine Stephens
• Katlynn A Sullivan, PHARMD
• Betty D. Sutton, CCC-SLP
• Sweet Home Care LLC
• Taylor Campbell, DMD PLLC
• The Therapy Group, L.L.C.

• Chiropractor in Hazlehurst, MS
• Providers in Hazlehurst, MS by specialty
• Chiropractor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.