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DR. DERRICK ROY BLYTHE D.C.
NPI 1851473227
Chiropractor in Booneville, MS

Active since October 19, 2006
413 N 2ND ST, BOONEVILLE, MS 38829(662) 728-7414(662) 728-4163 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Derrick Roy Blythe D.c. NPPES

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

DR. DERRICK ROY BLYTHE D.C. (NPI 1851473227) is an individual chiropractor in Booneville, Mississippi, licensed in Mississippi (885) and active in the NPI registry since October 2006. He is a graduate of Other (1993).

NPPES Registry Identity

NPI1851473227
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. DERRICK ROY BLYTHECredential: D.C.
Location Address413 N 2ND STBooneville, MS 38829-2031
Mailing Address413 N 2nd StBooneville, MS 38829-2031 · (662) 728-7414 · Fax (662) 728-4163
Phone(662) 728-7414
Fax(662) 728-4163
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateOctober 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1851473227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MS · 885
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.

413 N 2ND ST, Booneville, MS 38829
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Other Identifiers 1

Medicare UPINU47118MS

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Derrick Roy Blythe D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507888088
PECOS Enrollment IDI20051227000538

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.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
207 services46 patients

Other Providers at the Same Location NPPES 3

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

GRADY GARDNER DPT
Physical Therapist
413 N 2ND ST
BOONEVILLE, MS 38829
Prentiss County (662) 480-4006
MICHAEL C PUTT PT
Physical Therapist
413 N 2ND ST
BOONEVILLE, MS 38829
Prentiss County (662) 480-4006
JULIA KATIE SHOTTS PT, DPT
Physical Therapist
413 N 2ND ST
BOONEVILLE, MS 38829
Prentiss County (662) 480-4006

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 Derrick Blythe's NPI number?

The NPI number for Derrick Blythe is 1851473227. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Derrick Blythe located?

Derrick Blythe practices at 413 N 2nd St, Booneville, MS 38829. The listed phone number is (662) 728-7414.

What is Derrick Blythe's specialty?

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

Is Derrick Blythe enrolled in Medicare?

Yes. Derrick Blythe is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Derrick Blythe was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.