Mid South Chiropractic of Clarksdale PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MID SOUTH CHIROPRACTIC OF CLARKSDALE PLLC

Practice address

218 Delta Ave
Clarksdale, MS 38614-4213

Phone

(662) 627-7640

Fax

(662) 890-0522

NPI assigned

Jan 15, 2020

Organization subpart

No

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

Authorized official

Name

Brittany Kasprack, DCNPI 1528448685

Title

Chiropractor

Phone

(662) 890-0012

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brittany Kasprack, DC

  • Chiropractor
  • Collierville, TN
  • NPI 1528448685

  MS

  Medicare reassignment Care Compare group Authorized official
• William Cameron Scott

  • Chiropractor
  • Clarksdale, MS
  • NPI 1013501741
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1851931067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 DELTA AVE",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386144213",
            "telephone_number": "662-627-7640",
            "fax_number": "662-890-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 DELTA AVE",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386144213",
            "telephone_number": "662-627-7640",
            "fax_number": "662-890-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID SOUTH CHIROPRACTIC OF CLARKSDALE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "KASPRACK",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "662-890-0012",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Cope Melton
• Memorial Hospice Inc
• Ramon Merritte
• Eric H Messenger
• Mid Delta Radiology Associates, LLC
• Mid-Delta Home Health of Charleston, Inc.
• Desirea Miller, MSW
• Monica D Miller, M.ED.
• Tonjia Marie Miller, SW
• Mississippi Emergency Physician Services, LLC

• Chiropractor in Clarksdale, MS
• Providers in Clarksdale, MS by specialty
• Chiropractor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.