Jeannie Megan Lizak, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1317 Issued in MS

Practice address

1900 23Rd Ave
Meridian, MS 39301-3107

Phone

(601) 483-6330

Fax

(601) 483-6331

NPI assigned

Jul 27, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Richard E. Lizak, D.C., PA

  • Chiropractor
  • Meridian, MS
  • NPI 1194081380
  Medicare reassignment NPD
• Arrowhead Clinic, P.a.

  • Chiropractor
  • Meridian, MS
  • NPI 1982734570
  NPD (past)

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1629687512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 23RD AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013107",
            "telephone_number": "601-483-6330",
            "fax_number": "601-483-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 23RD AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013107",
            "telephone_number": "601-483-6330",
            "fax_number": "601-483-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIZAK",
        "first_name": "JEANNIE",
        "middle_name": "MEGAN",
        "name_prefix": "Miss",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hsmeridian@healthsourcechiro.com",
            "affiliation": "N",
            "endpointDescription": "Direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "Neat Desk Scanner",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Scanner",
            "address_1": "1900 23rd Ave",
            "city": "Meridian",
            "state": "MS",
            "country_code": "US",
            "postal_code": "393013107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lincare Inc.
• Marion C. Linton, FNP
• Little Movers Therapy Co., PLLC
• Reuben Roy Little II, DDS
• Livwell Clinic PLLC
• Jaime Llovet, MD
• Shannon Lloyd
• Wanda Lynette Lloyd, FNP-BC
• Jacquelynne Teauna Lockett
• Jacquelyn S Longmeier, SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.