Jeremy Wilson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1260 Issued in MS

Practice address

3710 I 55 N
Jackson, MS 39211-6323

Phone

(601) 981-2273

Fax

(601) 981-0578

NPI assigned

Jul 28, 2016

Sex

Male

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 MS

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Restoration Chiropractic Inc.

  • Chiropractor
  • Jackson, MS
  • NPI 1942947262
  Medicare reassignment NPD

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1447703277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 I 55 N",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392116323",
            "telephone_number": "601-981-2273",
            "fax_number": "601-981-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 I 55 N",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392116323",
            "telephone_number": "601-981-2273",
            "fax_number": "601-981-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JEREMY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Wilson
• Earl Wilson III, REV, LMFT
• Erica D Wilson, CMHT
• James G. Wilson, MD
• Jamesia Wilson, LSW
• Kelly L Wilson
• Lucas Hillman Wilson
• Marianne Kerut Wilson, MD
• Mark E Wilson, MD
• Olivia Grace Wilson, PTA

• Chiropractor in Jackson, MS
• Providers in Jackson, MS by specialty
• Chiropractor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.