1. Home
  2. Directory
  3. Mississippi
  4. Hattiesburg
  5. Chiropractor
  6. NPI Profile

WALTERS PEAVY CHIROPRACTIC CLINIC LLC
NPI 1710756804
Chiropractor in Hattiesburg, MS

Active since December 29, 2023
2409 MAMIE ST, HATTIESBURG, MS 39401(601) 582-3343(601) 583-6655 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Walters Peavy Chiropractic Clinic Llc NPPES

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

WALTERS PEAVY CHIROPRACTIC CLINIC LLC (NPI 1710756804) is a healthcare organization registered as a chiropractor in Hattiesburg, Mississippi and active in the NPI registry since December 2023. The organization lists Joseph M Walters, Owner, as its authorized official.

NPPES Registry Identity

NPI1710756804
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameWALTERS PEAVY CHIROPRACTIC CLINIC LLC
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 OfficialJoseph M WaltersOwner · (601) 408-6080
Enumeration DateDecember 29, 2023
Last NPPES UpdateJanuary 2, 2024
NPPES CertifiedJanuary 2, 2024
✔ NPI 1710756804 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
Open in Google Maps ↗

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)

Walters Peavy Chiropractic Clinic Llc 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 Walters Peavy Chiropractic Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Joseph Walters, D.C.
Chiropractic
NPI 1134560337
2409 MAMIE ST
Hattiesburg, MS 39401
(601) 582-3343
✔ 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 Walters Peavy Chiropractic Clinic LLC's NPI number?

The NPI number for Walters Peavy Chiropractic Clinic LLC is 1710756804. It was assigned to this organization in the NPPES registry on December 29, 2023.

Where is Walters Peavy Chiropractic Clinic LLC located?

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

What is Walters Peavy Chiropractic Clinic LLC's specialty?

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

Is Walters Peavy Chiropractic Clinic LLC enrolled in Medicare?

Yes. Walters Peavy Chiropractic Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Walters Peavy Chiropractic Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Walters Peavy Chiropractic Clinic LLC. 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 Walters Peavy Chiropractic Clinic LLC was last updated on January 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.