CHASTITY BLACK DC
NPI 1184452187
Chiropractor in Southaven, MS

Active since July 23, 2024Accepts Medicare Assignment
1630 GOODMAN RD E STE 3, SOUTHAVEN, MS 38671(901) 217-7173(662) 932-8774 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Chastity Black Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHASTITY BLACK DC (NPI 1184452187) is an individual chiropractor in Southaven, Mississippi, licensed in Mississippi (1398) and active in the NPI registry since July 2024. She maintains a secondary practice location in Collierville and is a graduate of Logan College Of Chiropractic (2023).

NPPES Registry Identity

NPI1184452187
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameCHASTITY BLACKCredential: DC
Location Address1630 GOODMAN RD E STE 3Southaven, MS 38671-9556
Mailing Address8101 Hacks Cross Rd Ste 110Olive Branch, MS 38654-4032 · (901) 221-7173 · Fax (662) 932-8774
Fax(662) 932-8774
Sole ProprietorNo
Medical School CMSLogan College Of ChiropracticGraduated 2023
Enumeration DateJuly 23, 2024
Last NPPES UpdateOctober 31, 2024
NPPES CertifiedOctober 31, 2024
NPI 1184452187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses Licensed in MS · 1398 Licensed in TN · 3873
Definition

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.

1630 GOODMAN RD E STE 3, Southaven, MS 38671

Secondary Practice Location 1

Location 13615 S Houston Levee Rd Ste 110Collierville, TN 38017-9173 · Phone (901) 221-7173 · Fax (662) 932-8774

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Chastity Black Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810435245
PECOS Enrollment IDI20241125001660

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
1630 GOODMAN RD E STE 3
SOUTHAVEN, MS 38671
Nurse Practitioner (Family)
1630 GOODMAN RD E STE 3
SOUTHAVEN, MS 38671

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chastity Black's NPI number?

The NPI number for Chastity Black is 1184452187. It was assigned to this individual provider in the NPPES registry on July 23, 2024.

Where is Chastity Black located?

Chastity Black practices at 1630 Goodman Rd E Ste 3, Southaven, MS 38671. The listed phone number is (901) 217-7173.

What is Chastity Black's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Chastity Black enrolled in Medicare?

Yes. Chastity Black is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Chastity Black accept?

Health plans from BlueCross BlueShield of Tennessee, Providence Health Plan and UnitedHealthcare list Chastity Black as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Chastity Black was last updated on October 31, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.