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ADVANCED CHIROPRACTIC AND WELLNESS
NPI 1790158293
Preferred Provider Organization in Diberville, MS

Active since November 05, 2015
11516 LAMEY BRIDGE RD, SUITE E, DIBERVILLE, MS 39540(228) 207-6427(228) 207-6428 Get Directions Write a Review

NPPES record last updated: November 5, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Advanced Chiropractic And Wellness NPPES

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

ADVANCED CHIROPRACTIC AND WELLNESS (NPI 1790158293) is a healthcare organization registered as a preferred provider organization in Diberville, Mississippi and active in the NPI registry since November 2015. The organization lists John Bamban, Owner, as its authorized official.

NPPES Registry Identity

NPI1790158293
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameJBCHIRO1 LLC
Location Address11516 LAMEY BRIDGE RD, SUITE EDiberville, MS 39540-2725
Mailing Address11516 Lamey Bridge Rd, Suite EDiberville, MS 39540-2725 · (228) 207-6427 · Fax (228) 207-6428
Phone(228) 207-6427
Fax(228) 207-6428
Organization SubpartNo
Authorized OfficialJohn BambanOwner · (228) 207-6427
Enumeration DateNovember 5, 2015
✔ NPI 1790158293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in MS · 1179
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
11516 LAMEY BRIDGE RD, Diberville, MS 39540
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Other Names 1

Doing Business AsAdvanced Chiropractic And Wellness

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Chiropractic And Wellness 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 Advanced Chiropractic And Wellness, which bills Medicare for the services this clinician delivers.

Clinician (1)

John Bamban, DC
Chiropractic
NPI 1235418807
11516 LAMEY BRIDGE RD STE E
Diberville, MS 39540
(228) 207-6427
✔ Accepts Medicare0.1 mi

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 Jbchiro1 LLC's NPI number?

The NPI number for Jbchiro1 LLC is 1790158293. It was assigned to this organization in the NPPES registry on November 5, 2015. The provider is doing business as Advanced Chiropractic And Wellness.

Where is Jbchiro1 LLC located?

Jbchiro1 LLC is located at 11516 Lamey Bridge Rd Suite E, Diberville, MS 39540. The listed phone number is (228) 207-6427.

What is Jbchiro1 LLC's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Is Jbchiro1 LLC enrolled in Medicare?

Yes. Jbchiro1 LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jbchiro1 LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Jbchiro1 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 Jbchiro1 LLC was last updated on November 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.