Olde Towne Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

OLDE TOWNE CHIROPRACTIC LLC

Practice address

420 Monroe St Ste C
Clinton, MS 39056-4226

Phone

(601) 460-1146

NPI assigned

Jun 15, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Haley T McCollum, DCNPI 1164946398

Title

Chiropractor

Phone

(601) 460-1146

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Haley Thomason McCollum, DC

  • Chiropractor
  • Ridgeland, MS
  • NPI 1164946398
  Medicare reassignment Care Compare group NPD Authorized official
• Taylor Evelynne Slay

  • Chiropractor
  • Flowood, MS
  • NPI 1851101042
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1447980198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 MONROE ST STE C",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390564226",
            "telephone_number": "601-460-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 MONROE ST STE C",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390564226",
            "telephone_number": "601-460-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLDE TOWNE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "MCCOLLUM",
        "authorized_official_first_name": "HALEY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "601-460-1146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imogen Kieran Nicholas
• Anna Jennings Nix, D.M.D.
• Christy Murray Nohra, M.D.
• Heather Breana Norton, LPC
• NP Care Anywhere LLC
• One Hope, LLC
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• Austine Onyia
• Optical 2000
• Orme Medical PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.