Yolanda Brannon, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1307 Issued in MS

Practice address

6942 Autumn Oaks Dr Ste a
Olive Branch, MS 38654-9379

Phone

(662) 890-0012

Fax

(662) 890-0522

NPI assigned

Oct 25, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dothan Spine and Specialty LLCGroup PAC ID 1557668365, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dothan Spine & Specialty LLC

  • General Practice Physician
  • Dothan, AL
  • NPI 1104282292
  Medicare reassignment Care Compare group
• Wiregrass Therapy Solutions Inc

  • Physical Therapist
  • Dothan, AL
  • NPI 1629554662
  NPD (past)

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1366085003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6942 AUTUMN OAKS DR STE A",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386549379",
            "telephone_number": "662-890-0012",
            "fax_number": "662-890-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6942 AUTUMN OAKS DR STE A",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386549379",
            "telephone_number": "662-890-0012",
            "fax_number": "662-890-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNON",
        "first_name": "YOLANDA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-25",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Traci D Bowen
• Taylor Breanne Bowers, CF-SLP
• Jordan Boyd
• Bradley M Stewart DMD LLC
• Susan C Brame, FNP
• Jazmine Briggs
• Fredricca Jazzman Brock, BCBA
• Brown Family Retina
• Barbara Brown, LPC-MHSP
• Calvin Christopher Brown, M.D.

• Chiropractor in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• Chiropractor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; 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.