Individual provider Active NPI

Gage Michael Rodriguez, D.C.

  • Chiropractor
  • Ridgeland, MS
National Provider Identifier
1255855748
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1278 Issued in MS
Practice address
101 W Washington St Ste C
Ridgeland, MS 39157-2434
Phone
(601) 856-2383
NPI assigned
Jul 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1278 MS Primary

Addresses

Primary practice location

101 W Washington St Ste C
Ridgeland, MS 39157-2434

Mailing address

101 W Washington St Ste C
Ridgeland, MS 39157-2434
Phone (601) 856-2383

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170819000045 MS Practitioner - Chiropractic 3072885466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abundant WellnessGroup PAC ID 2567700651, 3 clinicians

Practice addresses (Care Compare)

101 W Washington St
C1
Ridgeland, MS 39157-2434
Phone (601) 856-2383

Hospital & facility affiliations

  • Memorial Hermann Katy Hospital Hospital, Katy, TX, CCN 450847

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13985TXMDAddiction (Substance Use Disorder) Counselor
1278MSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cefalu Chiropractic Services of Madison, LLC Chiropractor CurrentSince Sep 20, 2022 Accepting new patients

Locations

2470 Flowood Dr
#125
Flowood, MS 39232
Phone (601) 932-9201

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1255855748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W WASHINGTON ST STE C",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572434",
            "telephone_number": "601-856-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W WASHINGTON ST STE C",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572434",
            "telephone_number": "601-856-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "GAGE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-27",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

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