Organization Active NPI

Morris Family Chiropractic PA

  • Chiropractor
  • Grenada, MS
National Provider Identifier
1669581468
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0995 Issued in MS
Legal business name
MORRIS FAMILY CHIROPRACTIC PA
Practice address
1332 Sunset Drive
Suite a
Grenada, MS 38901-4000
Phone
(662) 229-0690
Fax
(662) 229-0352
NPI assigned
Aug 29, 2006
Last updated
Sep 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

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

Authorized official

Name
Johnnie E. Morris, DCNPI 1326140799
Title
Owner/Doctor
Phone
(662) 229-0690

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0995 MS Primary

Addresses

Primary practice location

1332 Sunset Drive
Suite a
Grenada, MS 38901-4000

Mailing address

1332 Sunset Drive
Suite a
Grenada, MS 38901-4000
Phone (662) 229-0690

Other identifiers 2

IdentifierTypeStateIssuer
9015290MedicaidMS
3051083001OtherMSCIGNA HEALTHCARE

National Provider Directory

National Provider Directory

Locations

1332 Sunset Dr
#A
Grenada, MS 38901
Phone (662) 229-0690

Practitioners & affiliated clinicians

Practitioners 1

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": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1669581468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 SUNSET DRIVE",
            "address_2": "SUITE A",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014000",
            "telephone_number": "662-229-0690",
            "fax_number": "662-229-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 SUNSET DRIVE",
            "address_2": "SUITE A",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014000",
            "telephone_number": "662-229-0690",
            "fax_number": "662-229-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS FAMILY CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "JOHNNIE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "662-229-0690",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "0995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9015290",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "3051083001",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grenada, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.