DR. JACK ELIA JR. (NPI# 1699806323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699806323 |
| Entity Type | Individual |
| Full Name | DR. JACK ELIA JR. |
| Credential | D.C. |
| Practice Address |
1918 Grenada Blvd Greenwood MS 38930-4725 |
| Practice Telephone | 6624533866 |
| Practice Fax Number | 6624533866 |
| Mailing Telephone | 6624533866 |
| Mailing Fax Number | 6624533866 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2008-03-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 67 | MS | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 0125956 | 05 |
| Street Address |
1918 GRENADA BLVD |
| City | GREENWOOD |
| State | MS |
| Zip Code | 38930-4725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447871579 | Stewart Health Care Training Academy | Home Health Aide | 522 West Park Avenue Suite S, Greenwood, MS 38930 | 2020-04-29 |
| 1801386487 | Sunflower-humphreys Counties Progress, Inc. | Case Management | 414 Martin Luther King Dr, Indianola, MS 38930 | 2018-05-18 |
| 1053826610 | Sarah Malone | Counselor | 2504 Browing Road, Greenwood, MS 38930 | 2017-12-05 |
| 1780109850 | Jasmine Turner Edwards | Pharmacist | 2202 Us 82 W Frontage Rd, Greenwood, MS 38930 | 2017-08-09 |
| 1861916199 | Maurice Wright | Social Worker | 522 West Park Avenue, Suite Q-r, Greenwood, MS 38930 | 2017-07-28 |
| 1215464607 | Catherine Johnson | Counselor | 522 West Park Avenue, Greenwood, MS 38930 | 2017-05-16 |
| 1598205262 | Vignesh Kannan | Internal Medicine | Greenwood Leflore Hospital, 1401 River Rd, Greenwood, MS 38930 | 2017-03-01 |
| 1952847691 | Mischa Mccray | Counselor | 804 E Park Ave, Greenwood, MS 38930 | 2017-01-18 |
| 1760933147 | Ginger Caldero | Social Worker | 522 West Park Ave, Greenwood, MS 38930 | 2016-10-20 |
| 1942750617 | Greenwood Leflore Hospital | Psychiatry & Neurology | 1401 River Rd Rm 534, Greenwood, MS 38930 | 2016-10-06 |
| Find all providers in zip 38930 | ||||
| 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 |
|---|---|---|---|---|
| 1669003992 | Kelsey K Everley | Chiropractor | 622 N Madison Ave Ste 7and8, Greenwood, IN 46142-4082 | 2020-01-27 |
| 1396375242 | Jacob Blake Brumbelow | Chiropractor | 520 N State Road 135 Ste R, Greenwood, IN 46142-1321 | 2020-01-20 |
| 1336643782 | Ascension Family Chiropractic, Inc | Chiropractor | 181 S Madison Ave, Greenwood, IN 46142-3572 | 2018-03-21 |
| 1376896225 | Chad Michael Bigler | Chiropractor | 520 N State Road 135, Greenwood, IN 46142-1324 | 2012-10-16 |
| 1013273366 | Rowe Chiropractic and Acupuncture, Inc. | Chiropractor | 6 Town Square, Greenwood, AR 72936-3200 | 2012-04-11 |
| 1194096339 | Evan Lee Rowe | Chiropractor | 3512 Evans Rd, Greenwood, AR 72936-7904 | 2012-01-19 |
| 1164708202 | Greenwood Family Chiropractic, LLC | Chiropractor | 520 N Sr 135, Suite R, Greenwood, IN 46142 | 2011-11-02 |
| 1447536586 | Leanne Nicole Schlueter | Chiropractor | 520 North Sr 135, Suite R, Greenwood, IN 46142 | 2011-11-02 |
| 1053647180 | Kimberly L Jefferson | Chiropractor | 1707 Strong Ave, Suite A, Greenwood, MS 38930-3923 | 2009-10-23 |
| 1225264245 | Devon Tyler Mcgillem | Chiropractor | 450 S State Road 135, Greenwood, IN 46142-1455 | 2009-06-04 |
| Find all providers in GREENWOOD | ||||
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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.