Individual provider Active NPI

Shana Thomas, D.C.

  • Chiropractor
  • Columbus, MS
National Provider Identifier
1689751307
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1106 Issued in MS
Practice address
2013 Highway 45 N Ste 1
Columbus, MS 39705-2239
Phone
(662) 327-6586
Fax
(662) 327-6587
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1106 MS Primary

Addresses

Primary practice location

2013 Highway 45 N Ste 1
Columbus, MS 39705-2239

Mailing address

2013 Highway 45 N Ste 1
Columbus, MS 39705-2239
Phone (662) 327-6586

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070316000428 MS Practitioner - Chiropractic 1557464203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2013 Hwy 45 N
Suite 1
Columbus, MS 39705-2239
Phone (662) 327-6586

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1106MSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
SJBJ PLLC Chiropractor CurrentSince Jan 1, 2017 Accepting new patients

Locations

2013 Highway 45 N
Ste 1
Columbus, MS 39705
Phone (662) 327-6586

111 Alabama St
Columbus, MS 39702
Phone (662) 327-6586

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1689751307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 HIGHWAY 45 N STE 1",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052239",
            "telephone_number": "662-327-6586",
            "fax_number": "662-327-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 HIGHWAY 45 N STE 1",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052239",
            "telephone_number": "662-327-6586",
            "fax_number": "662-327-6587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SHANA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.