Organization Active NPI

Jernigan Chiropractic Clinic Os

  • Chiropractor
  • Ocean Springs, MS
National Provider Identifier
1477365765
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JERNIGAN CHIROPRACTIC CLINIC OS
Practice address
2107A Bienville Blvd # D4
Ocean Springs, MS 39564-3087
Phone
(228) 215-8888
NPI assigned
Jan 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Authorized official

Name
Mrs. Lauren Watson
Title
Office Manager
Phone
(228) 609-0265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2107A Bienville Blvd # D4
Ocean Springs, MS 39564-3087

Mailing address

2107A Bienville Blvd # D4
Ocean Springs, MS 39564-3087
Phone (228) 215-8888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250820002780 MS Part B Supplier - Clinic/Group Practice 4082114582 Receives reassigned benefits from 2 practitioners
Practice locations: Ocean Springs, MS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1737590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1477365765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107A BIENVILLE BLVD # D4",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643087",
            "telephone_number": "228-215-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107A BIENVILLE BLVD # D4",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643087",
            "telephone_number": "228-215-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERNIGAN CHIROPRACTIC CLINIC OS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "228-609-0265",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.