Gerald E. Klein, D.C.
Individual provider Active NPI Chiropractor · Fulton, MS
NPI 1376567941 · NPPES record last updated May 7, 2021
Key facts
- NPI
- 1376567941
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 0990 (MS)
- Practice address
- 101 Wheeler Dr Suite B
Fulton, MS 38843 - Phone
- (662) 862-2071
- Fax
- (662) 862-2071
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
418 Hospital Rd
Fulton, MS 38843-6017
Phone (662) 862-2071
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060920000511 | MS | Practitioner - Chiropractic | 9335100593 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0990 | MS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Discover Chiropractic PA | Chiropractor | Current |
Accepting new patients |
| Life Chiropractic Center PA | Chiropractor | Past |
Accepting new patients |
Locations
418 Hospital Rd
Fulton, MS 38843
Phone (601) 862-2131
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0990 | MS | Yes |
Addresses
Primary practice location
101 Wheeler Dr Suite B
Fulton, MS 38843
Mailing address
PO Box 824
Fulton, MS 38843-0824
Phone (662) 862-2071
Other providers in Fulton, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.