Organization Active NPI

M Greg Medlin, PLLC

Doing business as Medlin Chiropractic

  • Chiropractor
  • New Albany, MS
National Provider Identifier
1699040758
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0882 Issued in MS
Legal business name
M GREG MEDLIN, PLLC
Doing business as
Medlin Chiropractic
Practice address
132 W Bankhead St Ste B
New Albany, MS 38652-3330
Phone
(662) 534-6636
Fax
(662) 534-6639
NPI assigned
Mar 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
Dr. Micheal Greg Medlin, D.C.NPI 1366496127
Title
Owner
Phone
(662) 534-6636

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 0882 MS Primary

Addresses

Primary practice location

132 W Bankhead St Ste B
New Albany, MS 38652-3330

Mailing address

132 W Bankhead St Ste B
New Albany, MS 38652-3330
Phone (662) 534-6636

Other names 1

  • Medlin Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120417000599 MS Part B Supplier - Clinic/Group Practice 9931360021 Receives reassigned benefits from 1 practitioner
Practice locations: New Albany, MS

National Provider Directory

National Provider Directory
Tax ID family
M Greg Medlin PLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

132 W Bankhead St
Ste B
New Albany, MS 38652
Phone (662) 534-6636

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": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1699040758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 W BANKHEAD ST STE B",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523330",
            "telephone_number": "662-534-6636",
            "fax_number": "662-534-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 W BANKHEAD ST STE B",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523330",
            "telephone_number": "662-534-6636",
            "fax_number": "662-534-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M GREG MEDLIN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "MEDLIN",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_middle_name": "GREG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-534-6636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "0882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medlin Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Albany, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.