NPIMap

Organization Active NPI

Elite Healthcare Alliance

  • Chiropractor
  • Jackson, MS
National Provider Identifier
1669636569
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1124 Issued in MS
Legal business name
ELITE HEALTHCARE ALLIANCE
Practice address
350 N Mart PLZ Ste B
Jackson, MS 39206-5319
Phone
(601) 987-0067
Fax
(601) 987-6722
NPI assigned
Jul 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Dr. Joseph Clay, D.C.NPI 1487831004
Title
Chiropractic Physician
Phone
(601) 987-0067

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1124 MS Primary

Addresses

Primary practice location

350 N Mart PLZ Ste B
Jackson, MS 39206-5319

Mailing address

350 N Mart PLZ Ste B
Jackson, MS 39206-5319
Phone (601) 987-0067

National Provider Directory

National Provider Directory

Locations

350 N Mart Plz
Ste B
Jackson, MS 39206
Phone (601) 987-0067

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1669636569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N MART PLZ STE B",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392065319",
            "telephone_number": "601-987-0067",
            "fax_number": "601-987-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N MART PLZ STE B",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392065319",
            "telephone_number": "601-987-0067",
            "fax_number": "601-987-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HEALTHCARE ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "601-987-0067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 10, 2008; 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.