Adjusted Life Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

001286 Issued in MS

Legal business name

ADJUSTED LIFE CHIROPRACTIC LLC

Practice address

5295 Galaxie Dr Ste C
Jackson, MS 39206

Phone

(769) 524-4735

NPI assigned

Jun 4, 2018

Last updated

Dec 10, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeremy ColemanNPI 1023507746

Title

Owner

Phone

(769) 524-4735

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeremy Leumun, Marquis Coleman, DC

  • Chiropractor
  • Jackson, MS
  • NPI 1023507746
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544400000000",
    "number": "1528550779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5295 GALAXIE DR STE C",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392064337",
            "telephone_number": "769-524-4735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5295 GALAXIE DR STE C",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39206",
            "telephone_number": "769-524-4735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADJUSTED LIFE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-12-10",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "769-524-4735"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "001286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kehinde Adewale Adebisi, MD
• Charles Ayo Adedara, MD
• Barrie E Aden, AU.D.
• Babatunde K Oluwaseun Adeyemi, DO
• Elizabeth Adeyemi
• Arin Adkins, LCSW
• Jonathan Ross Adkins, MD
• Todd N Adkins, M.D.
• Advance Care, LLC (CareOne Medical Clinic)
• Advance Dental Clinic

• 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 Dec 10, 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.