1. Home
  2. Directory
  3. Mississippi
  4. Southaven
  5. Chiropractor
  6. NPI Profile

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: October 18, 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
Phone(901) 217-7173
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
Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Cigna Healthcare, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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

Medicare Billing Reassignment

Medicare enrollment records show Chastity Black reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Chiro Place Of Collierville PLLC
14 mi
Chiropractor
3615 S HOUSTON LEVEE RD STE 110
Collierville, TN 38017
  • Reassigned Medicare billing, Tennessee enrollment
  • 6 clinicians in this Medicare group
NPI 1609234657 (901) 221-7173

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

COURTNEY DANIELLE GOODE NP
Nurse Practitioner (Adult Health)
1630 GOODMAN RD E STE 3
SOUTHAVEN, MS 38671
Desoto County (901) 821-1123
GOODE PROVIDER
Nurse Practitioner (Family)
1630 GOODMAN RD E STE 3
SOUTHAVEN, MS 38671
Desoto County (662) 470-7232

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.

Which organization bills Medicare for Chastity Black's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chastity Black reassigns Medicare benefits to The Chiro Place Of Collierville PLLC (Collierville, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Chastity Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Chastity Black accept?

Health plans from BlueCross BlueShield of Tennessee, Cigna Healthcare, 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.