Organization Active NPI

Southern Solutions Chiropractic, Inc.

  • Chiropractor
  • Leesville, LA
National Provider Identifier
1295299675
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SOUTHERN SOLUTIONS CHIROPRACTIC, INC.
Practice address
1108 Port Arthur Ter
Leesville, LA 71446-4600
Phone
(337) 377-0477
Fax
(337) 239-1062
NPI assigned
Jan 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Authorized official

Name
Dr. Jeannie Hicks, DCNPI 1740798198
Title
Owner
Phone
(337) 377-0477

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1108 Port Arthur Ter
Leesville, LA 71446-4600

Mailing address

1108 Port Arthur Ter
Leesville, LA 71446-4600
Phone (337) 377-0477

Other names 1

  • Southern solu Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190403000121 LA Part B Supplier - Clinic/Group Practice 6103167036 Receives reassigned benefits from 4 practitioners
Practice locations: Deridder, LA; Leesville, LA

National Provider Directory

National Provider Directory

Locations

725 West Dr
Deridder, LA 70634
Phone (337) 348-1133

901 Shirley St
Deridder, LA 70634
Phone (337) 239-1061

12836 Highway 171
Longville, LA 70652
Phone (337) 377-0477

905 E 7th Ave
Ste 3
Oakdale, LA 71463
Phone (337) 377-0477

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548806400000",
    "number": "1295299675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 PORT ARTHUR TER",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464600",
            "telephone_number": "337-377-0477",
            "fax_number": "337-239-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 PORT ARTHUR TER",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464600",
            "telephone_number": "337-377-0477",
            "fax_number": "337-239-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN SOLUTIONS CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-30",
        "last_updated": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-377-0477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern solu",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leesville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.