Active NPI
Joanne Elaine Wisdom, D.C
- Chiropractor
- Quitman, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7360
- Practice address
- 1018 E. Goode St., Suite 102
Quitman, TX 75783-2563 - Phone
- (903) 763-4404
- Fax
- (903) 763-2550
- NPI assigned
- Jan 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 7360 | TX | Primary |
| Rehabilitation Chiropractor | 111NR0400X | 7360 | TX |
Addresses
Primary practice location
1018 E. Goode St., Suite 102
Quitman, TX 75783-2563
Mailing address
1018 E. Goode St., Suite 102
Quitman, TX 75783-2563
Phone (903) 763-4404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1018 E Goode St
Suite 102
Quitman, TX 75783-1641
1018 E Goode St
Suite 102
Quitman, TX 75783-2563
Phone (903) 763-4404
606 E Goode St
Suite 400
Quitman, TX 75783-2563
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7360 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quitman Health Services, PLLC | Chiropractor | Current | Accepting new patients |
Locations
1018 E Goode St
Ste 102
Quitman, TX 75783
Phone (903) 763-4404
606 E Goode St
Ste 400
Quitman, TX 75783
Phone (903) 763-4404
1018 E Goode St
#102
Quitman, TX 75783
Phone (903) 763-4404
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705017600000",
"number": "1972652691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1018 E. GOODE ST., SUITE 102",
"city": "QUITMAN",
"state": "TX",
"postal_code": "757832563",
"telephone_number": "903-763-4404",
"fax_number": "903-763-2550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1018 E. GOODE ST., SUITE 102",
"city": "QUITMAN",
"state": "TX",
"postal_code": "757832563",
"telephone_number": "903-763-4404",
"fax_number": "903-763-2550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISDOM",
"first_name": "JOANNE",
"middle_name": "ELAINE",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2024-01-12",
"certification_date": "2024-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "7360",
"primary": true
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "TX",
"license": "7360",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quitman, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.