Jernigan Chiropractic Clinic Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

JERNIGAN CHIROPRACTIC CLINIC INC

Practice address

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

Phone

(228) 896-7574

Fax

(228) 896-7579

NPI assigned

Feb 19, 2008

Last updated

May 20, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeremy Todd Jernigan, D.C.NPI 1194864165

Title

Doctor

Phone

(228) 896-7574

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS2 enrollments

Enrollment records 2

Locations

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeremy Todd Jernigan, D.C.

  • Chiropractor
  • Gulfport, MS
  • NPI 1194864165
  Medicare reassignment Care Compare group NPD Authorized official
• Angelique Coffin, AGNP

  • Adult Health Nurse Practitioner
  • Biloxi, MS
  • NPI 1962280545
  Medicare reassignment Care Compare group NPD
• Katanya D Ford, D.C.

  • Chiropractor
  • Gulfport, MS
  • NPI 1083999130
  Medicare reassignment Care Compare group NPD
• Mark Read Shuttleworth, DC

  • Chiropractor
  • Gulfport, MS
  • NPI 1083786768
  Medicare reassignment Care Compare group NPD
• Mina K. Whitmer, D.C.

  • Chiropractor
  • Biloxi, MS
  • NPI 1619000866
  Medicare reassignment Care Compare group NPD
• Kimberly Payne

  • Family Nurse Practitioner
  • Biloxi, MS
  • NPI 1811869761
  Medicare reassignment Care Compare group
• John Ben Hassam, D.C. CHIROPRACTOR

  • Chiropractor
  • Gulfport, MS
  • NPI 1902859176
  Medicare reassignment NPD
• Michelle Lins, D.C.

  • Chiropractor
  • Gulfport, MS
  • NPI 1982053799
  Medicare reassignment NPD
• Kendrick R McCarty

  • Family Nurse Practitioner
  • Pascagoula, MS
  • NPI 1649621368
  Medicare reassignment NPD
• Michael A McKay, M.D.

  • Obstetrics & Gynecology Physician
  • Gulfport, MS
  • NPI 1649257858
  Medicare reassignment NPD
• Genevieve Smith Pitchford, D.C.

  • Chiropractor
  • Ocean Springs, MS
  • NPI 1346409851
  NPD (past)

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1275701781",
    "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": {
        "organization_name": "JERNIGAN CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "JERNIGAN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "228-896-7574",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeannette Bolte, PH.D, PLLC
• Jeffery Y. Taylor DMD, PA
• Jeffery Y. Taylor, DMD, PA
• Heather Lyn Jeffrey
• Jeremy W Owens, MD, PC
• Grant Jernigan
• Jeremy Todd Jernigan, D.C.
• Jessica M Baskett (Arrow Counseling Services LLC)
• Joan S Waldroup, LCSW, PLLC
• Janelle E Joe, PHARM. D.

• Multi-Specialty Clinic/Center in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Multi-Specialty Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.