Peavy Chiropractic Clinic PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PEAVY CHIROPRACTIC CLINIC PA

Practice address

2409 Mamie St
Hattiesburg, MS 39401-7345

Phone

(601) 582-3343

Fax

(601) 583-6655

NPI assigned

Feb 2, 2007

Last updated

Oct 26, 2010By 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

Jan C Peavy

Title

Sec-Tres

Phone

(601) 268-9093

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 3

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.

• Arlette L. Bates, D.C.

  • Chiropractor
  • Hattiesburg, MS
  • NPI 1881732568
  NPD (past)
• Jarrett Dale Johnson, DC

  • Chiropractor
  • Biloxi, MS
  • NPI 1629030572
  NPD (past)
• Michael Patrick Sliman, D.C.

  • Chiropractor
  • Mobile, AL
  • NPI 1497810642
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1629116322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 MAMIE ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017345",
            "telephone_number": "601-582-3343",
            "fax_number": "601-583-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 MAMIE ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017345",
            "telephone_number": "601-582-3343",
            "fax_number": "601-583-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAVY CHIROPRACTIC CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "PEAVY",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SEC-TRES",
        "authorized_official_telephone_number": "601-268-9093"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "C00559",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "353484066",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmine Payton
• Peak Health and Wellness, LLC
• Lauren Peak
• Sandra Darnell Pearson, B.A.
• Sven Pearson, MS, ATC, LAT, CAMCP
• David L. Peavy, D.C.
• Richard A Pecunia, MD
• Pediatric Dental Group of Hattiesburg, PLLC
• Claire Peeck, LPC
• Catherine Marie Pena-Bonilla, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.