Active NPI
Misty N Ratliff, DC
- Chiropractor
- Wiggins, MS
National Provider Identifier
1780980235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1172
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1172 | MS | MD | Mental Health Counselor |
| 2569 | TN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
| Poplarville Family Chiropractic | Chiropractor | Past | 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.
-
- Chiropractor
- Wiggins, MS
- NPI 1720530033
-
- Chiropractor
- Poplarville, MS
- NPI 1750454880
-
- Specialist
- Roan Mountain, TN
- NPI 1386080976
-
- Chiropractor
- Roan Mountain, TN
- NPI 1265601769
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.