Active NPI
Addie Stanford, D.C.
- Chiropractor
- Ridgeland, MS
National Provider Identifier
1659760007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1238
- Practice address
- 575 Highway 51
Ridgeland, MS 39157-2593 - Phone
- (601) 856-2383
- Fax
- (601) 856-3955
- NPI assigned
- Jan 22, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1238 | MS | Primary |
Addresses
Primary practice location
575 Highway 51
Ridgeland, MS 39157-2593
Mailing address
575 Highway 51
Ridgeland, MS 39157-2593
Phone (601) 856-2383
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
575 Hwy 51
Ridgeland, MS 39157-2593
Phone (601) 605-4993
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1238 | MS | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Chiropractic Care, LLC | Chiropractor | Current | Accepting new patients |
Locations
575 Highway 51
Ridgeland, MS 39157
Phone (601) 605-4993
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421884800000",
"number": "1659760007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 HIGHWAY 51",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391572593",
"telephone_number": "601-856-2383",
"fax_number": "601-856-3955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 HIGHWAY 51",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391572593",
"telephone_number": "601-856-2383",
"fax_number": "601-856-3955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANFORD",
"first_name": "ADDIE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-22",
"last_updated": "2015-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MS",
"license": "1238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgeland, MS
- Stafford Counseling Services, LLC
- Kelly Logan Stafford, LPC
- Steven R Stafford, LPC
- Whitney Leigh Stafford, SLP
- Standard Medical Equipment Corporation
- Stanley Family Dental, PLLC
- Adriane Medenwald Stanley, D.M.D.
- Kianna Stanley
- Stat Healthcare LLC
- State of Mississippi - University of Mississippi Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.