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PEAVY CHIROPRACTIC CLINIC PA
NPI 1629116322
Chiropractor in Hattiesburg, MS

Active since February 02, 2007
2409 MAMIE ST, HATTIESBURG, MS 39401(601) 582-3343(601) 583-6655 Get Directions Write a Review

NPPES record last updated: October 26, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Peavy Chiropractic Clinic Pa NPPES

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

PEAVY CHIROPRACTIC CLINIC PA (NPI 1629116322) is a healthcare organization registered as a chiropractor in Hattiesburg, Mississippi and active in the NPI registry since February 2007. The organization lists Jan C Peavy, Sec-tres, as its authorized official.

NPPES Registry Identity

NPI1629116322
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePEAVY CHIROPRACTIC CLINIC PA
Location Address2409 MAMIE STHattiesburg, MS 39401-7345
Mailing Address2409 Mamie StHattiesburg, MS 39401-7345 · (601) 582-3343 · Fax (601) 583-6655
Phone(601) 582-3343
Fax(601) 583-6655
Organization SubpartNo
Authorized OfficialJan C PeavySec-tres · (601) 268-9093
Enumeration DateFebruary 2, 2007
Last NPPES UpdateOctober 26, 2010
✔ NPI 1629116322 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.
2409 MAMIE ST, Hattiesburg, MS 39401
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Other Identifiers 3

OtherC00559MS · Medicare Group #
Other353484066MS · Blue Cross & Blue Shield
Medicare ID-Type Unspecified350948054MS

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

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOSEPH M WALTERS D.C.
Chiropractor
2409 MAMIE ST
HATTIESBURG, MS 39401
Forrest County (601) 582-3343
DR. TIMOTHY W. HOUSEAL D.C.
Chiropractor
2409 MAMIE ST
HATTIESBURG, MS 39401
Forrest County (601) 582-3343
WALTERS PEAVY CHIROPRACTIC CLINIC LLC
Chiropractor
2409 MAMIE ST
HATTIESBURG, MS 39401
Forrest County (601) 582-3343
DR. DAVID L. PEAVY D.C.
Chiropractor
2409 MAMIE ST
HATTIESBURG, MS 39401
Forrest County (601) 582-3343
DR. ARLETTE L. BATES D.C.
Chiropractor
2409 MAMIE ST
HATTIESBURG, MS 39401
Forrest County (601) 582-3343

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 Peavy Chiropractic Clinic PA's NPI number?

The NPI number for Peavy Chiropractic Clinic PA is 1629116322. It was assigned to this organization in the NPPES registry on February 2, 2007.

Where is Peavy Chiropractic Clinic PA located?

Peavy Chiropractic Clinic PA is located at 2409 Mamie St, Hattiesburg, MS 39401. The listed phone number is (601) 582-3343.

What is Peavy Chiropractic Clinic PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Peavy Chiropractic Clinic PA was last updated on October 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.