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SHUTTLEWORTH CHIROPRACTIC CENTRE PA
NPI 1609948397
Chiropractor in Gulfport, MS

Active since November 15, 2006
665 EAST PASS RD STE 3, GULFPORT, MS 39507(228) 896-3002(228) 897-1417 Get Directions Write a Review

NPPES record last updated: February 27, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Shuttleworth Chiropractic Centre Pa NPPES

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

SHUTTLEWORTH CHIROPRACTIC CENTRE PA (NPI 1609948397) is a healthcare organization registered as a chiropractor in Gulfport, Mississippi and active in the NPI registry since November 2006. The organization lists Mark R Shuttleworth, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1609948397
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSHUTTLEWORTH CHIROPRACTIC CENTRE PA
Location Address665 EAST PASS RD STE 3Gulfport, MS 39507
Mailing Address665 East Pass Rd Ste 3Gulfport, MS 39507 · (228) 896-3002 · Fax (228) 897-1417
Phone(228) 896-3002
Fax(228) 897-1417
Organization SubpartNo
Authorized OfficialMark R ShuttleworthChiropractor · (228) 896-3002
Enumeration DateNovember 15, 2006
Last NPPES UpdateFebruary 27, 2019
✔ NPI 1609948397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MS · 0753
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.
665 EAST PASS RD STE 3, Gulfport, MS 39507
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Other Identifiers 1

Medicaid00115351MS

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shuttleworth Chiropractic Centre Pa 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 Shuttleworth Chiropractic Centre PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mark Shuttleworth, DC
Chiropractic
NPI 1083786768
665 EAST PASS RD STE 3
Gulfport, MS 39507
(228) 896-3002
✔ 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 Shuttleworth Chiropractic Centre PA's NPI number?

The NPI number for Shuttleworth Chiropractic Centre PA is 1609948397. It was assigned to this organization in the NPPES registry on November 15, 2006.

Where is Shuttleworth Chiropractic Centre PA located?

Shuttleworth Chiropractic Centre PA is located at 665 East Pass Rd Ste 3, Gulfport, MS 39507. The listed phone number is (228) 896-3002.

What is Shuttleworth Chiropractic Centre PA's specialty?

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

Is Shuttleworth Chiropractic Centre PA enrolled in Medicare?

Yes. Shuttleworth Chiropractic Centre PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shuttleworth Chiropractic Centre PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Shuttleworth Chiropractic Centre PA. 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.

When was this NPI record last updated?

The NPPES record for Shuttleworth Chiropractic Centre PA was last updated on February 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.