Organization Active NPI

Hancock Chiropractic Clinic, Inc.

  • Health Service Clinic/Center
  • Philadelphia, MS
National Provider Identifier
1821375767
Registry record updated Nov 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
0953 Issued in MS
Legal business name
HANCOCK CHIROPRACTIC CLINIC, INC.
Practice address
1010A E Main St
Philadelphia, MS 39350-2308
Phone
(601) 656-8710
Fax
(601) 389-0760
NPI assigned
Nov 7, 2011
Last updated
Nov 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2011

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

Authorized official

Name
Dr. Scott Anthony Hancock, D.C.NPI 1811043771
Title
President
Phone
(601) 656-8710

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
Health Service Clinic/Center 261QH0100X 0953 MS Primary

Addresses

Primary practice location

1010A E Main St
Philadelphia, MS 39350-2308

Mailing address

1010A E Main St
Philadelphia, MS 39350-2308
Phone (601) 656-8710

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111108000180 MS Part B Supplier - Clinic/Group Practice 2567635527 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, MS

National Provider Directory

National Provider Directory

Locations

1010A E Main St
Philadelphia, MS 39350
Phone (601) 389-0720

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320624000000",
    "number": "1821375767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010A E MAIN ST",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502308",
            "telephone_number": "601-656-8710",
            "fax_number": "601-389-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010A E MAIN ST",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502308",
            "telephone_number": "601-656-8710",
            "fax_number": "601-389-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANCOCK CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-07",
        "last_updated": "2011-11-07",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-656-8710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MS",
            "license": "0953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; 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.