SOUTHERN CHIROPRACTIC OF DOUGLAS
NPI 1538679394
Chiropractor in Douglas, GA

Active since October 06, 2017
506 ASHLEY ST W, DOUGLAS, GA 31533(912) 389-0042 Get Directions Write a Review

NPPES record last updated: October 6, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Southern Chiropractic Of Douglas NPPES

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

SOUTHERN CHIROPRACTIC OF DOUGLAS (NPI 1538679394) is a healthcare organization registered as a chiropractor in Douglas, Georgia and active in the NPI registry since October 2017. The organization lists Joshua Brett Mizell, Owner/chiropractor, as its authorized official.

NPPES Registry Identity

NPI1538679394
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSOUTHERN CHIROPRACTIC OF DOUGLAS, INC.
Location Address506 ASHLEY ST WDouglas, GA 31533-2308
Mailing Address506 Ashley St WDouglas, GA 31533-2308 · (912) 389-0042
Organization SubpartNo
Authorized OfficialJoshua Brett MizellOwner/chiropractor · (912) 389-0042
Enumeration DateOctober 6, 2017
✔ NPI 1538679394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in GA · CHIR008807
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.
506 ASHLEY ST W, Douglas, GA 31533

Other Names 1

Doing Business AsSouthern Chiropractic Of Douglas

Other Identifiers 1

OtherCHIR008807GA · Professional License

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Chiropractic Of Douglas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southern Chiropractic Of Douglas, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1417249343
506 ASHLEY ST W
Douglas, GA 31533
(912) 427-8433
Same 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 Southern Chiropractic Of Douglas, Inc.'s NPI number?

The NPI number for Southern Chiropractic Of Douglas, Inc. is 1538679394. It was assigned to this organization in the NPPES registry on October 6, 2017. The provider is doing business as Southern Chiropractic Of Douglas.

Where is Southern Chiropractic Of Douglas, Inc. located?

Southern Chiropractic Of Douglas, Inc. is located at 506 Ashley St W, Douglas, GA 31533. The listed phone number is (912) 389-0042.

What is Southern Chiropractic Of Douglas, Inc.'s specialty?

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

Is Southern Chiropractic Of Douglas, Inc. enrolled in Medicare?

Yes. Southern Chiropractic Of Douglas, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Chiropractic Of Douglas, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Southern Chiropractic Of Douglas, 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 Southern Chiropractic Of Douglas, Inc. accept?

Health plans from Alliant Health Plans, Inc. list Southern Chiropractic Of Douglas, 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 Southern Chiropractic Of Douglas, Inc. was last updated on October 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.