Organization Active NPI

Dr D Erin Jacobs DC PA

  • Chiropractor
  • Greenwood, MS
National Provider Identifier
1386958718
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1103 Issued in MS
Legal business name
DR D ERIN JACOBS DC PA
Practice address
805 W Park Ave Ste 5a
Greenwood, MS 38930-2832
Phone
(662) 374-5252
Fax
(662) 301-9615
NPI assigned
Jul 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Authorized official

Name
Dr. Dorothey Erin Jacobs, DC
Title
President
Phone
(662) 458-5251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1103 MS Primary

Addresses

Primary practice location

805 W Park Ave Ste 5a
Greenwood, MS 38930-2832

Mailing address

805 W Park Ave Ste 5a
Greenwood, MS 38930-2832
Phone (662) 374-5252

Other practice location 1

101 S Natchez St
Kosciusko, MS 39090-3753
Phone (662) 374-5252

Other identifiers 2

IdentifierTypeStateIssuer
07922069MedicaidMS
428675562OtherMSBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110204000245 MS Part B Supplier - Clinic/Group Practice 1658551825 Receives reassigned benefits from 1 practitioner
Practice locations: Kosciusko, MS; Greenwood, MS

National Provider Directory

National Provider Directory

Locations

1600 Highway 82 W
Ste 200
Greenwood, MS 38930
Phone (662) 453-2949

101 S Natchez St
Kosciusko, MS 39090
Phone (662) 374-5252

2886 Jefferson St
Macon, MS 39341
Phone (662) 726-9050

Practitioners & affiliated clinicians

Practitioners 1

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": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1386958718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 W PARK AVE STE 5A",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389302832",
            "telephone_number": "662-374-5252",
            "fax_number": "662-453-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W PARK AVE STE 5A",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389302832",
            "telephone_number": "662-374-5252",
            "fax_number": "662-301-9615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 S Natchez St",
            "address_purpose": "LOCATION",
            "city": "Kosciusko",
            "state": "MS",
            "postal_code": "390903753",
            "country_code": "US",
            "telephone_number": "662-374-5252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR D ERIN JACOBS DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "DOROTHEY",
        "authorized_official_middle_name": "ERIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-458-5251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07922069",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "428675562",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; 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.