SHOOK CHIROPRACTIC INC.
NPI 1366537870
Chiropractor in Golden, MS

Active since October 03, 2006
27 RED BAY RD, GOLDEN, MS 38847(662) 454-7792(665) 454-7994 Get Directions Write a Review

NPPES record last updated: July 16, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shook Chiropractic Inc. NPPES

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

SHOOK CHIROPRACTIC INC. (NPI 1366537870) is a healthcare organization registered as a chiropractor in Golden, Mississippi and active in the NPI registry since October 2006. The organization lists Raymond Uluster Shook, Owner, as its authorized official.

NPPES Registry Identity

NPI1366537870
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSHOOK CHIROPRACTIC INC.
Location Address27 RED BAY RDGolden, MS 38847
Mailing AddressP.o. Box 495Golden, MS 38847 · (662) 454-7792 · Fax (662) 454-7994
Fax(665) 454-7994
Organization SubpartNo
Authorized OfficialRaymond Uluster ShookOwner · (662) 454-7792
Enumeration DateOctober 3, 2006
Last NPPES UpdateJuly 16, 2014
✔ NPI 1366537870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MS · 1027
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.
27 RED BAY RD, Golden, MS 38847

Other Identifiers 5

Medicare UPINU90076MS
Medicare PIN350000310MS
Medicare PINC03019MS
Medicaid09016146MS
Medicaid00126319MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shook Chiropractic Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMississippiEnrollment IDO20040419000206Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shook Chiropractic Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1588759955
27 RED BAY RD
Golden, MS 38847
(662) 454-7792
✔ Accepts MedicareSame address

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

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 Shook Chiropractic Inc.'s NPI number?

The NPI number for Shook Chiropractic Inc. is 1366537870. It was assigned to this organization in the NPPES registry on October 3, 2006.

Where is Shook Chiropractic Inc. located?

Shook Chiropractic Inc. is located at 27 Red Bay Rd, Golden, MS 38847. The listed phone number is (662) 454-7792.

What is Shook Chiropractic Inc.'s specialty?

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

Is Shook Chiropractic Inc. enrolled in Medicare?

Yes. Shook Chiropractic Inc. is registered in the Medicare PECOS enrollment system.

When is Shook Chiropractic Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Shook Chiropractic Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Shook Chiropractic Inc.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Shook Chiropractic Inc. accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list Shook Chiropractic Inc. 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 Shook Chiropractic Inc. was last updated on July 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.