Coaker Chiropractic Clinic, P.C.
Organization Active NPI Chiropractor · Waynesboro, MS
NPI 1558025833 · NPPES record last updated Oct 24, 2021
Key facts
- NPI
- 1558025833
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- COAKER CHIROPRACTIC CLINIC, P.C.
- Practice address
- 134 Russell Dr
Waynesboro, MS 39367-4409 - Phone
- (601) 735-9373
- NPI assigned
- Oct 24, 2021
- Organization subpart
- No
Authorized official
- Name
- Brittney Coaker, DC
- Title
- Chiropractor
- Phone
- (251) 214-5311
Practitioners 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211130001765 | MS | Part B Supplier - Clinic/Group Practice | 6305236688 |
Receives reassigned benefits from 1 practitioner Practice locations: Waynesboro, MS |
National Provider Directory
Locations
134 Russell Dr
Waynesboro, MS 39367
Phone (251) 214-5311
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
134 Russell Dr
Waynesboro, MS 39367-4409
Mailing address
134 Russell Dr
Waynesboro, MS 39367-4409
Other providers in Waynesboro, MS
- Julia Darlene Carney
- Meagan Elizabeth Carpenter
- Thomas Gerald Causey Jr.
- Tanya L Caver
- Kelley Christian Gowdy
- Brittney Alise Coaker
- Megan Cook
- Bobbie Jean Cooksey
- Cooley Drug Inc
- Cooley Drug Inc
All providers in Waynesboro, MS · Chiropractor in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.