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CHIROPRACTIC WELLNESS CENTRE, PLLC
NPI 1720473986
Point of Service in Southaven, MS

Active since April 03, 2015
354 STATELINE RD W, SOUTHAVEN, MS 38671(662) 470-4615(662) 470-4619 Get Directions Write a Review

NPPES record last updated: May 11, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Chiropractic Wellness Centre, Pllc NPPES

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

CHIROPRACTIC WELLNESS CENTRE, PLLC (NPI 1720473986) is a healthcare organization registered as a point of service in Southaven, Mississippi and active in the NPI registry since April 2015. The organization lists Justin Morris, Chiropractic Physician, as its authorized official.

NPPES Registry Identity

NPI1720473986
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameCHIROPRACTIC WELLNESS CENTRE, PLLC
Location Address354 STATELINE RD WSouthaven, MS 38671-1610
Mailing Address354 Stateline Rd WSouthaven, MS 38671-1610 · (662) 470-4615 · Fax (662) 470-4619
Phone(662) 470-4615
Fax(662) 470-4619
Organization SubpartNo
Authorized OfficialJustin MorrisChiropractic Physician · (662) 470-4615
Enumeration DateApril 3, 2015
Last NPPES UpdateMay 11, 2015
✔ NPI 1720473986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
License✔ Licensed in MS · 1234
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
354 STATELINE RD W, Southaven, MS 38671
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chiropractic Wellness Centre, Pllc 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 Chiropractic Wellness Centre, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Justin Morris, D.C.
Chiropractic
NPI 1356731327
354 STATELINE RD W
Southaven, MS 38671
(662) 420-3549
✔ 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 Chiropractic Wellness Centre, PLLC's NPI number?

The NPI number for Chiropractic Wellness Centre, PLLC is 1720473986. It was assigned to this organization in the NPPES registry on April 3, 2015.

Where is Chiropractic Wellness Centre, PLLC located?

Chiropractic Wellness Centre, PLLC is located at 354 Stateline Rd W, Southaven, MS 38671. The listed phone number is (662) 470-4615.

What is Chiropractic Wellness Centre, PLLC's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

Is Chiropractic Wellness Centre, PLLC enrolled in Medicare?

Yes. Chiropractic Wellness Centre, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Chiropractic Wellness Centre, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Chiropractic Wellness Centre, PLLC. 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 Chiropractic Wellness Centre, PLLC was last updated on May 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.