JERNIGAN CHIROPRACTIC CLINIC, INC. (NPI# 1275701781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275701781 |
| Entity Type | Organization |
| Organization Name | JERNIGAN CHIROPRACTIC CLINIC, INC. |
| Practice Address |
2045 E Pass Rd Ste B Gulfport MS 39507-3761 |
| Practice Telephone | 2288967574 |
| Practice Fax Number | 2288967579 |
| Mailing Telephone | 2288967574 |
| Mailing Fax Number | 2288967579 |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2020-09-17 |
| Authorized Official Name | DR. JEREMY TODD JERNIGAN (DOCTOR) |
| Authorized Official Telephone | 2288967574 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1065 | MS | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 229 Debuys Rd, Gulfport, MS 395072838 | 2288967574 | 2288967579 |
| Street Address |
2045 E PASS RD STE B |
| City | GULFPORT |
| State | MS |
| Zip Code | 39507-3761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356957732 | Caleb Fortenberry | Chiropractor | 2045 E Pass Rd Ste B, Gulfport, MS 39507-3761 | 2020-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609389105 | Karen R Burns | Speech-Language Pathologist | 3506 Washington Avenue, Ste E, Gulfport, MS 39507 | 2017-11-07 |
| 1538605027 | Andrea Broussard | Personal Emergency Response Attendant | 406 Pass Rd, Gulfport, MS 39507 | 2017-01-09 |
| 1366872491 | William Alexis Marcia | Pharmacist | 1444 East Pass Road, Gulfport, MS 39507 | 2013-11-27 |
| 1740599380 | Advanced Hearing Systems, Inc. | Hearing Instrument Specialist | 401 Security Square, Gulfport, MS 39507 | 2010-09-30 |
| 1497068118 | Stacey Ritter Carter | Dentist | 1635 East Pass Road, Gulfport, MS 39507 | 2010-07-22 |
| 1477789964 | Letonoff Orthopaedics & Sports | Orthopaedic Surgery | 452 Court House Road, Suite G, Gulfport, MS 39507 | 2009-06-10 |
| 1730385139 | Bernard Frederick Podlin | Dentist | 400 Pass Road, Gulfport, MS 39507 | 2007-06-22 |
| 1043422553 | Mark D Stringer | Dentist | 520-a Courthouse Road, Gulfport, MS 39507 | 2007-05-04 |
| 1154543528 | Pass Road Elementary | Registered Nurse | 37 Pass Road, Gulfport, MS 39507 | 2007-05-03 |
| 1417073768 | John Hough Hopkins | Dentist | 3303 A Ave, Gulfport, MS 39507 | 2007-03-21 |
| Find all providers in zip 39507 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487297123 | Shelby Wittorf | Chiropractor | 370 Courthouse Rd Ste 101, Gulfport, MS 39507-1889 | 2019-10-25 |
| 1104312735 | Anthony William Lopez Jr. | Chiropractor | 15007 Creosote Rd Ste A, Gulfport, MS 39503-4392 | 2018-07-06 |
| 1578929329 | Marissa Lyn Hols | Chiropractor | 6320 7th Ave S, Gulfport, FL 33707-2305 | 2016-01-10 |
| 1083088488 | William Bankester | Chiropractor | 8950 Lorraine Rd Ste C, Gulfport, MS 39503-4183 | 2015-11-23 |
| 1063805083 | Dr. Elizabeth A. Douglas D.c. | Chiropractor | 4933 14th Ave S, Gulfport, FL 33707-3622 | 2015-03-16 |
| 1083042170 | Brandon Hardin | Chiropractor | 370 Courthouse Rd, 101, Gulfport, MS 39507-1889 | 2013-10-29 |
| 1285060954 | Lance Ellis Cleveland | Chiropractor | 45 Hardy Court Ctr, Ste. 103, Gulfport, MS 39507-2501 | 2013-09-25 |
| 1386905412 | Back Room | Chiropractor | 15312 Dedeaux Rd, Suite A, Gulfport, MS 39503-3123 | 2012-06-05 |
| 1083999130 | Katanya D Ford | Chiropractor | 1243 28th St Ste A, Gulfport, MS 39501-6203 | 2011-10-19 |
| 1013151638 | Bradford Joseph Dewitt | Chiropractor | 15465 Oak Ln Ste 100b, Gulfport, MS 39503-2663 | 2009-04-27 |
| Find all providers in GULFPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.