Organization Active NPI

Fugett Health Services LLC

Doing business as Amory Chiropractic

  • Chiropractor
  • Amory, MS
National Provider Identifier
1376969071
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1187 Issued in MS
Legal business name
FUGETT HEALTH SERVICES LLC
Doing business as
Amory Chiropractic
Practice address
1239 Highway 278 E
Amory, MS 38821-5807
Phone
(662) 256-1350
Fax
(662) 256-1350
NPI assigned
Mar 5, 2014
Last updated
Jun 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Mrs. Martha Caitlin Fugett
Title
Office Manager
Phone
(662) 256-1350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1187 MS Primary

Addresses

Primary practice location

1239 Highway 278 E
Amory, MS 38821-5807

Mailing address

1239 Highway 278 E
Amory, MS 38821-5807
Phone (662) 256-1350

Other names 1

  • Amory Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140821000504 MS Part B Supplier - Clinic/Group Practice 7416175104 Receives reassigned benefits from 1 practitioner
Practice locations: Amory, MS

National Provider Directory

National Provider Directory

Locations

60387 Cotton Gin Port Rd
Ste 3
Amory, MS 38821
Phone (662) 256-1350

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": "1393977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1376969071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 HIGHWAY 278 E",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388215807",
            "telephone_number": "662-256-1350",
            "fax_number": "662-256-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 HIGHWAY 278 E",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388215807",
            "telephone_number": "662-256-1350",
            "fax_number": "662-256-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUGETT HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-05",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "FUGETT",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "CAITLIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "662-256-1350",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amory Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amory, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.