NPIMap

Organization Active NPI

Garvey Wellness Clinic, Inc.

Doing business as Garvey Back and Neck Clinic

  • Chiropractor
  • Jackson, MS
National Provider Identifier
1659774701
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0862 Issued in MS
Legal business name
GARVEY WELLNESS CLINIC, INC.
Doing business as
Garvey Back and Neck Clinic
Practice address
766 Lakeland Dr
Suite B
Jackson, MS 39216-4610
Phone
(601) 982-2916
Fax
(601) 366-2916
NPI assigned
Oct 3, 2014
Last updated
Dec 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Authorized official

Name
Dr. Daniel Charles Garvey, D.C.NPI 1316030166
Title
Owner
Phone
(601) 982-2916

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X
Chiropractor 111N00000X 0862 MS Primary

Addresses

Primary practice location

766 Lakeland Dr
Suite B
Jackson, MS 39216-4610

Mailing address

766 Lakeland Dr
Suite B
Jackson, MS 39216-4610
Phone (601) 982-2916

Other names 1

  • Garvey Back and Neck Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20141104001283 MS Part B Supplier - Clinic/Group Practice 0042432205 Receives reassigned benefits from 5 practitioners
Practice locations: Jackson, MS
O20200624002071 MS DME Supplier - Medical Supply Company 0042432205 Practice locations: Jackson, MS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Garvey Wellness Clinic, Inc766B Lakeland Dr, Jackson, MS 39216-4610(601) 982-2916 Orthoses: Off-The-Shelf Accepts assignmentParticipating since Sep 6, 2014

National Provider Directory

National Provider Directory

Locations

766 Lakeland Dr
#B
Jackson, MS 39216
Phone (601) 366-3400

766B Lakeland Dr
Jackson, MS 39216
Phone (601) 982-2916

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607904000000",
    "number": "1659774701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 LAKELAND DR",
            "address_2": "SUITE B",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164610",
            "telephone_number": "601-982-2916",
            "fax_number": "601-366-2916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 LAKELAND DR",
            "address_2": "SUITE B",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164610",
            "telephone_number": "601-982-2916",
            "fax_number": "601-366-2916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARVEY WELLNESS CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-03",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A",
        "authorized_official_last_name": "GARVEY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-982-2916",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "0862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garvey Back and Neck Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Garvey Back and Neck Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.