Organization Active NPI

Midsouth Chiropractic PLLC

  • Chiropractor
  • Savannah, TN
National Provider Identifier
1679978324
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MIDSOUTH CHIROPRACTIC PLLC
Practice address
635 Water St
Savannah, TN 38372-2442
Phone
(731) 925-2225
Fax
(731) 925-2226
NPI assigned
Oct 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Authorized official

Name
Casey Bevis, DCNPI 1417048851
Title
DC/Owner
Phone
(731) 925-1196

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 TN Primary

Addresses

Primary practice location

635 Water St
Savannah, TN 38372-2442

Mailing address

PO Box 785
Savannah, TN 38372-0785
Phone (731) 925-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150219001836 TN Part B Supplier - Clinic/Group Practice 2062737851 Receives reassigned benefits from 3 practitioners
Practice locations: Savannah, TN

National Provider Directory

National Provider Directory

Locations

635 Water St
Savannah, TN 38372
Phone (731) 925-2225

Practitioners & affiliated clinicians

Practitioners 3

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": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1679978324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 785",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383720785",
            "telephone_number": "731-925-2225",
            "fax_number": "731-925-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 WATER ST",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383722442",
            "telephone_number": "731-925-2225",
            "fax_number": "731-925-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDSOUTH CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "BEVIS",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "DC/OWNER",
        "authorized_official_telephone_number": "731-925-1196",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.