Active NPI
Justin Morris, D.C.
- Chiropractor
- Southaven, MS
National Provider Identifier
1356731327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1234
- Practice address
- 354 Stateline Rd W
Southaven, MS 38671-1610 - Phone
- (662) 420-3549
- NPI assigned
- Jan 29, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1234 | MS | Primary |
Addresses
Primary practice location
354 Stateline Rd W
Southaven, MS 38671-1610
Mailing address
354 Stateline Rd W
Southaven, MS 38671-1610
Phone (662) 420-3549
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
354 Stateline Rd W
Southaven, MS 38671-1610
354 Stateline W Rd
Southaven, MS 38671-1610
Phone (662) 470-4615
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1234 | MS | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Wellness Centre, PLLC | Current | Accepting new patients |
Locations
354 Stateline Rd W
Southaven, MS 38671
Phone (662) 393-2166
Organizations & group practices 1
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.
-
- Point of Service
- Southaven, MS
- NPI 1720473986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427932800000",
"number": "1356731327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "354 STATELINE RD W",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386711610",
"telephone_number": "662-420-3549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "354 STATELINE RD W",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386711610",
"telephone_number": "662-420-3549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "JUSTIN",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-29",
"last_updated": "2015-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MS",
"license": "1234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; 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.