Individual provider Active NPI

Thomas Fugett III, D.C.

  • Chiropractor
  • Amory, MS
National Provider Identifier
1811318199
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1187 Issued in MS
Practice address
1239 Highway 278 E
Amory, MS 38821-5807
Phone
(662) 256-1350
NPI assigned
Jan 3, 2014
Last updated
Jun 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1187 MS Primary

Addresses

Primary practice location

1239 Highway 278 E
Amory, MS 38821-5807

Mailing address

1239 Highway 278 E
Amory, MS 38821-5807
Phone (662) 256-1350

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140625002266 MS Practitioner - Chiropractic 5193940633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1239 Hwy 278 E
Amory, MS 38821-5807
Phone (662) 256-1350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1187MSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fugett Health Services LLC Chiropractor CurrentSince May 12, 2014 Accepting new patients

Locations

60387 Cotton Gin Port Rd
Ste 3
Amory, MS 38821
Phone (662) 256-1350

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1811318199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 HIGHWAY 278 E",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388215807",
            "telephone_number": "662-256-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 HIGHWAY 278 E",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388215807",
            "telephone_number": "662-256-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUGETT",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-03",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amory, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.