Brittney Alise Coaker

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1318 Issued in MS

Practice address

134 Russell Dr
Waynesboro, MS 39367-4409

Phone

(601) 735-9373

NPI assigned

Apr 10, 2021

Last updated

Apr 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coaker Chiropractic Clinic, P.C.

  • Chiropractor
  • Waynesboro, MS
  • NPI 1558025833
  Medicare reassignment NPD Authorized official
• Olson Chiropractic Clinic PA

  • Chiropractor
  • Waynesboro, MS
  • NPI 1386093581
  NPD (past)

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

{
    "created_epoch": "1618012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618012800000",
    "number": "1639759012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7049 FOUR POINTS RD",
            "city": "FRUITDALE",
            "state": "AL",
            "postal_code": "365395732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 RUSSELL DR",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393674409",
            "telephone_number": "601-735-9373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COAKER",
        "first_name": "BRITTNEY",
        "middle_name": "ALISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-10",
        "last_updated": "2021-04-10",
        "certification_date": "2021-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meagan Elizabeth Carpenter, M.D.
• Thomas Gerald Causey Jr., PTA
• Tanya L Caver
• Kelley Christian Gowdy, FNP-BC
• Coaker Chiropractic Clinic, P.C.
• Megan Cook, ATC
• Bobbie Jean Cooksey, FNP C
• Cooley Drug Inc
• Cooley Drug Inc
• Tangle Daniels, IDD SERVICES

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.