Organization Active NPI

Adl Solutions

Doing business as The Back Clinic of Mississippi

  • Family Medicine Physician
  • Flowood, MS
National Provider Identifier
1992900039
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ADL SOLUTIONS
Doing business as
The Back Clinic of Mississippi
Practice address
1050 N Flowood Dr
Suite a-1
Flowood, MS 39232-9738
Phone
(601) 936-3515
Fax
(601) 936-0705
NPI assigned
Jun 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Sandra Irby
Title
Ceo
Phone
(601) 936-3515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1050 N Flowood Dr
Suite a-1
Flowood, MS 39232-9738

Mailing address

1050 N Flowood Dr
Suite a-1
Flowood, MS 39232-9738
Phone (601) 936-3515

Other names 1

  • The Back Clinic of Mississippi Doing business as

National Provider Directory

National Provider Directory

Locations

1050 N Flowood Dr
Ste A1
Jackson, MS 39232
Phone (601) 933-1908

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992900039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 N FLOWOOD DR",
            "address_2": "SUITE A-1",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329738",
            "telephone_number": "601-936-3515",
            "fax_number": "601-936-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 N FLOWOOD DR",
            "address_2": "SUITE A-1",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329738",
            "telephone_number": "601-936-3515",
            "fax_number": "601-936-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADL SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IRBY",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-936-3515",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Back Clinic of Mississippi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.