Organization Active NPI

Grenada Family Chiropractic Inc

  • Chiropractor
  • Grenada, MS
National Provider Identifier
1275957714
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GRENADA FAMILY CHIROPRACTIC INC
Practice address
1360 Sunset Dr Ste 3C
Grenada, MS 38901-2857
Phone
(662) 226-8071
Fax
(662) 226-8072
NPI assigned
Feb 4, 2014
Last updated
May 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Authorized official

Name
Felicia Faye Poe, D.CNPI 1871882407
Title
Owner/Chiropractor
Phone
(662) 303-9830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1360 Sunset Dr Ste 3C
Grenada, MS 38901-2857

Mailing address

1360 Sunset Dr Ste 3C
Grenada, MS 38901-2857
Phone (662) 226-8071

Other names 1

  • Grenada Family Chiropractic Inc Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150413000333 MS Part B Supplier - Clinic/Group Practice 0547588188 Receives reassigned benefits from 1 practitioner
Practice locations: Grenada, MS

National Provider Directory

National Provider Directory

Locations

1360 Sunset Dr
Ste 3C
Grenada, MS 38901
Phone (662) 226-8071

30 Sunset Loop
#A
Grenada, MS 38901
Phone (662) 226-8071

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1275957714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 SUNSET DR STE 3C",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389012857",
            "telephone_number": "662-226-8071",
            "fax_number": "662-226-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 SUNSET DR STE 3C",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389012857",
            "telephone_number": "662-226-8071",
            "fax_number": "662-226-8072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRENADA FAMILY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-04",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "POE",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "662-303-9830",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grenada Family Chiropractic Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grenada Family Chiropractic Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Grenada, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.