Organization Active NPI

Healthy You Chiropractic and Rehabilitation Center

  • Clinic/Center
  • Jackson, MS
National Provider Identifier
1780197939
Registry record updated Nov 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HEALTHY YOU CHIROPRACTIC AND REHABILITATION CENTER
Practice address
411 Briarwood Dr Ste 401
Jackson, MS 39206-3058
Phone
(601) 203-2932
Fax
(769) 218-0578
NPI assigned
Nov 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2017

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

Authorized official

Name
Dr. Edward Hunt, DC
Title
Owner
Phone
(601) 203-2932

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

411 Briarwood Dr Ste 401
Jackson, MS 39206-3058

Mailing address

411 Briarwood Dr Ste 401
Jackson, MS 39206-3058
Phone (601) 203-2932

Other identifiers 1

IdentifierTypeStateIssuer
05756238MedicaidMS

National Provider Directory

National Provider Directory

Locations

411 Briarwood Dr
Ste 401
Jackson, MS 39206
Phone (601) 203-2932

NPI Registry JSON

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510185600000",
    "number": "1780197939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 BRIARWOOD DR STE 401",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392063058",
            "telephone_number": "601-203-2932",
            "fax_number": "769-218-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 BRIARWOOD DR STE 401",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392063058",
            "telephone_number": "601-203-2932",
            "fax_number": "769-218-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY YOU CHIROPRACTIC AND REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2017-11-09",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-203-2932",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05756238",
            "state": "MS"
        }
    ],
    "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 Nov 9, 2017; 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.