Mid-South Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1518 Issued in MS

Legal business name

MID-SOUTH CHIROPRACTIC, LLC

Practice address

6253 Goodman Road
Suite a & B
Olive Branch, MS 38654-9391

Phone

(662) 890-0012

Fax

(662) 890-0522

NPI assigned

Jun 9, 2006

Organization subpart

No

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

Authorized official

Name

William Lawton Allen, D.C.

Title

Chiropractor

Phone

(662) 890-0012

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• MidSouth Chiropractic & Therapeutic Massage Doing business as

Locations

Practitioners 3

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

• Nikolas Ramone Chillies, D.C.

  • Chiropractor
  • Olive Branch, MS
  • NPI 1629010467
  NPD (past)
• James E Hult, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Sequim, WA
  • NPI 1821132481
  NPD (past)
• David J Leu, D.C.

  • Chiropractor
  • Johnson City, TN
  • NPI 1528000163
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1972544344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6253 GOODMAN ROAD",
            "address_2": "SUITE A & B",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386549391",
            "telephone_number": "662-890-0012",
            "fax_number": "662-890-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6253 GOODMAN ROAD",
            "address_2": "SUITE A & B",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386549391",
            "telephone_number": "662-890-0012",
            "fax_number": "662-890-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-SOUTH CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LAWTON",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "662-890-0012",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "701292",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7696844",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MS",
            "identifier": "409574769",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0111474",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GOLDEN RULE",
            "identifier": "701292",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GE WELLNESS PLAN",
            "identifier": "701292",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TN",
            "identifier": "4131570",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MidSouth Chiropractic & Therapeutic Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Methodist Healthcare - Olive Branch Hospital
• Methodist Healthcare Community Care Associates
• Mid South Chiropractic PLLC
• Mid South Express Shuttle
• Mid South First Care
• Mid-South Retina Associates, LLC
• Midsouth Behavioral Health, PLLC
• Midsouth Medical Concierge
• Midsouth Rheumatology
• Glenda Fae Milam

• Chiropractor in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• Chiropractor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.