COAKER CHIROPRACTIC CLINIC, P.C.
NPI 1558025833
Chiropractor in Waynesboro, MS

Active since October 24, 2021
134 RUSSELL DR, WAYNESBORO, MS 39367(601) 735-9373 Get Directions Write a Review

NPPES record last updated: October 24, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Coaker Chiropractic Clinic, P.c. NPPES

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

COAKER CHIROPRACTIC CLINIC, P.C. (NPI 1558025833) is a healthcare organization registered as a chiropractor in Waynesboro, Mississippi and active in the NPI registry since October 2021. The organization lists Brittney Coaker, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1558025833
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCOAKER CHIROPRACTIC CLINIC, P.C.
Location Address134 RUSSELL DRWaynesboro, MS 39367-4409
Mailing Address134 Russell DrWaynesboro, MS 39367-4409
Organization SubpartNo
Authorized OfficialBrittney CoakerChiropractor · (251) 214-5311
Enumeration DateOctober 24, 2021
NPPES CertifiedOctober 24, 2021
✔ NPI 1558025833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
134 RUSSELL DR, Waynesboro, MS 39367

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)

Coaker Chiropractic Clinic, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

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 IDO20211130001765Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
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 Coaker Chiropractic Clinic, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1639759012
134 RUSSELL DR
Waynesboro, MS 39367
(601) 735-9373
✔ 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 Coaker Chiropractic Clinic, P.C.'s NPI number?

The NPI number for Coaker Chiropractic Clinic, P.C. is 1558025833. It was assigned to this organization in the NPPES registry on October 24, 2021.

Where is Coaker Chiropractic Clinic, P.C. located?

Coaker Chiropractic Clinic, P.C. is located at 134 Russell Dr, Waynesboro, MS 39367. The listed phone number is (601) 735-9373.

What is Coaker Chiropractic Clinic, P.C.'s specialty?

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

Is Coaker Chiropractic Clinic, P.C. enrolled in Medicare?

Yes. Coaker Chiropractic Clinic, P.C. is registered in the Medicare PECOS enrollment system.

When is Coaker Chiropractic Clinic, P.C.'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 March 31, 2027. 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 Coaker Chiropractic Clinic, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Coaker Chiropractic Clinic, P.C.. 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 Coaker Chiropractic Clinic, P.C. accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list Coaker Chiropractic Clinic, P.C. 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 Coaker Chiropractic Clinic, P.C. was last updated on October 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.