Mason Rushton Walters, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1357 Issued in MS

Practice address

423 Weathersby Rd Ste 120B
Hattiesburg, MS 39402-1140

Phone

(601) 255-5512

NPI assigned

Jul 1, 2022

Last updated

Jan 25, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Chiropractic

Education

Other

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Chiropractic Care of Hattiesburg LLC

  • Chiropractor
  • Hattiesburg, MS
  • NPI 1184339038
  Medicare reassignment NPD

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1902539547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 WEATHERSBY RD STE 120B",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021140",
            "telephone_number": "601-255-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 WEATHERSBY RD STE 120B",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021140",
            "telephone_number": "601-255-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "MASON",
        "middle_name": "RUSHTON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-01",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13882",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Walley
• Robert Walley
• Walnut Square Pharmacy LLC (Walnut Square Pharmacy)
• Walters Peavy Chiropractic Clinic LLC
• Joseph M Walters, D.C.
• Thomas M Walters, CRNA
• Naja Walton
• Audrey Ward, LCSW
• Donald R. Ward, MD
• Kimberly Wynell Ward, AU.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.