DR. JOHN HENRY DESUTTER D.C.
NPI 1780791202
Chiropractor in Olive Branch, MS
About Dr. John Henry Desutter D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN HENRY DESUTTER D.C. (NPI 1780791202) is an individual chiropractor in Olive Branch, Mississippi, licensed in Mississippi (0059) and active in the NPI registry since August 2006. He is a graduate of Palmer College Chiropractic - Davenport (1972).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. John Henry Desutter D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show John Desutter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Olive Branch, MS 38654
- Reassigned Medicare billing, Mississippi enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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 John Desutter's NPI number?
The NPI number for John Desutter is 1780791202. It was assigned to this individual provider in the NPPES registry on August 23, 2006.
Where is John Desutter located?
John Desutter practices at 9659 E. Goodman Ave, Olive Branch, MS 38654. The listed phone number is (662) 895-2501.
What is John Desutter's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is John Desutter enrolled in Medicare?
Yes. John Desutter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for John Desutter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Desutter reassigns Medicare benefits to Desutter Chiropractic Clinic, Inc. (Olive Branch, MS). The 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 John Desutter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for John Desutter was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. John Henry Desutter, D.C. · NPI 1780791202
Chiropractor provider in Olive Branch, Mississippi. Individual provider, active in the CMS NPPES registry since August 23, 2006.
## Identity
- **NPI:** 1780791202 (Entity type: Individual)
- **Enumerated:** August 23, 2006
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 0059 (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9659 E. GOODMAN AVE, Olive Branch, MS 38654
- **Phone:** (662) 895-2501 · **Fax:** (662) 895-3464
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Desutter Chiropractic Clinic, Inc. (NPI 1881965283, Olive Branch, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Palmer College Chiropractic - Davenport, class of 1972
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare UPIN T21143
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Source: [NPI Profile](https://npiprofile.com/npi/1780791202) · Data from the CMS NPPES public registry.