Pre-Hab, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1204 Issued in MS

Legal business name

PRE-HAB, LLC

Practice address

1000 Lakeland Square Ext Ste 400
Flowood, MS 39232-7621

Phone

(601) 932-3855

Fax

(601) 932-6557

NPI assigned

Feb 20, 2018

Organization subpart

No

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

Authorized official

Name

Heather Tanner McLendon

Title

Office Manager

Phone

(601) 932-3855

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Practitioners 5

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

• Clayton Lowery Pitts, D.C.

  • Chiropractor
  • Flowood, MS
  • NPI 1134467996
  Medicare reassignment NPD
• Justin Thomas Brumfield, D.C.

  • Chiropractor
  • Flowood, MS
  • NPI 1629487913
  NPD
• Caleb Van Gressett, DC

  • Chiropractor
  • Flowood, MS
  • NPI 1942964598
  NPD
• Thomas Albert Garrett, D.C.

  • Chiropractor
  • Flowood, MS
  • NPI 1699916916
  NPD (past)
• Anthony Vincent Parkinson, D.C.

  • Chiropractor
  • Jackson, MS
  • NPI 1760576102
  NPD (past)

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519084800000",
    "number": "1467952010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 LAKELAND SQUARE EXT STE 400",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392327621",
            "telephone_number": "601-932-3855",
            "fax_number": "601-932-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LAKELAND SQUARE EXT STE 400",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392327621",
            "telephone_number": "601-932-3855",
            "fax_number": "601-932-6557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRE-HAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A",
        "authorized_official_last_name": "MCLENDON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "TANNER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "601-932-3855"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01950356",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Selena M Powe, FNP
• Wade A Powers
• Hannah Poyner, FNP
• Manisha Shrestha Pradhan, DMD
• Allie Prater, CCC-SLP
• Precious Images Ultrasound, LLC
• Precise Clinical Neuroscience Specialists
• Precise Psychopharmacology LLC
• Precise Psychopharmacology LLC
• Precision Optical Dispensary, Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.