Individual provider Active NPI

Misty N Ratliff, DC

  • Chiropractor
  • Wiggins, MS
National Provider Identifier
1780980235
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1172 Issued in MS
Practice address
1528 Azalea Drive South
Wiggins, MS 39577
Phone
(601) 746-5224
Fax
(601) 746-5204
NPI assigned
Feb 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 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 1172 MS Primary

Addresses

Primary practice location

1528 Azalea Drive South
Wiggins, MS 39577

Mailing address

1528 Azalea Drive South
Wiggins, MS 39577
Phone (601) 746-5224

Other names 1

  • Dr. Misty Jenkins Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110509000113 MS Practitioner - Chiropractic 7012192008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1528 Azalea Dr S
Wiggins, MS 39577-8102
Phone (601) 746-5224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1172MSMDMental Health Counselor
2569TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Chiropractic PLLC Chiropractor CurrentSince Dec 4, 2016 Accepting new patients
Poplarville Family Chiropractic Chiropractor PastSince Aug 5, 2013 Accepting new patients
Highland Clinic of Chiropractic, PLLC Chiropractor Past Accepting new patients
Highcountry Clinic of Alternative Healthcare PC Past Accepting new patients

Locations

1235 S Main St
Poplarville, MS 39470
Phone (601) 746-5224

1528 Azalea Dr S
Wiggins, MS 39577
Phone (601) 746-5224

Organizations & group practices 4

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": "1296518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1780980235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 AZALEA DRIVE SOUTH",
            "city": "WIGGINS",
            "state": "MS",
            "postal_code": "39577",
            "telephone_number": "601-746-5224",
            "fax_number": "601-746-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 AZALEA DRIVE SOUTH",
            "city": "WIGGINS",
            "state": "MS",
            "postal_code": "39577",
            "telephone_number": "601-746-5224",
            "fax_number": "601-746-5204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATLIFF",
        "first_name": "MISTY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-01",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MISTY",
            "last_name": "JENKINS",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wiggins, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.