Organization Active NPI

Rathburn Chiropracticclinic

  • Chiropractor
  • Clinton, MS
National Provider Identifier
1770766495
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
734 Issued in MS
Legal business name
RATHBURN CHIROPRACTICCLINIC
Practice address
612 Highway 80 E
Clinton, MS 39056-5123
Phone
(601) 924-4647
Fax
(601) 926-4799
NPI assigned
Dec 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Dr. Alan N Rathburn, D.C.NPI 1508932690
Title
Doctor
Phone
(601) 924-4647

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 734 MS Primary

Addresses

Primary practice location

612 Highway 80 E
Clinton, MS 39056-5123

Mailing address

612 Highway 80 E
Clinton, MS 39056-5123
Phone (601) 924-4647

Other identifiers 1

IdentifierTypeStateIssuer
514646023BOtherMSBC/BS OF MS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050124000605 MS Part B Supplier - Clinic/Group Practice 6305896887 Receives reassigned benefits from 1 practitioner
Practice locations: Clinton, MS

National Provider Directory

National Provider Directory

Locations

612 Highway 80 E
Clinton, MS 39056
Phone (601) 924-4647

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": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1770766495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 HIGHWAY 80 E",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390565123",
            "telephone_number": "601-924-4647",
            "fax_number": "601-926-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 HIGHWAY 80 E",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390565123",
            "telephone_number": "601-924-4647",
            "fax_number": "601-926-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RATHBURN CHIROPRACTICCLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "RATHBURN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "601-924-4647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MS",
            "identifier": "514646023B",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.