Southern Life Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SOUTHERN LIFE CHIROPRACTIC LLC

Practice address

578 Lakeland East Dr Ste B
Flowood, MS 39232-9022

Phone

(601) 672-8655

NPI assigned

Dec 17, 2018

Organization subpart

No

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

Authorized official

Name

Amy Different, DCNPI 1538548029

Title

Owner

Phone

(601) 672-8655

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Tax ID family

Southern Life Chiropractic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Southern Life Chiropractic LLC

  • Chiropractor
  • Spring Hill, TN
  • NPI 1144032780
  NPD tax ID

Locations

Practitioners 1

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

• Amy Different

  • Chiropractor
  • Flowood, MS
  • NPI 1538548029
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1881165736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "578 LAKELAND EAST DR STE B",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329022",
            "telephone_number": "601-672-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "578 LAKELAND EAST DR STE B",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329022",
            "telephone_number": "601-672-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN LIFE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "DIFFERENT",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-672-8655",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04675750",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southeastern Transitional Care Management Services
• Southern Comfort Home Health Agency
• Southern Diagnostic Laboratories, LLC
• Southern Eye Care of Flowood, PA
• Southern Interventional Pain Specialists Jackson, PLLC
• Southern Specialty Clinic, LLC
• Southern Specialty Clinic, LLC
• Southern Women'S Health, PLLC
• Dylan Burt Sparnecht
• Specialized Physical Therapy

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.