DESUTTER CHIROPRACTIC CLINIC, INC.
NPI 1881965283
Chiropractor in Olive Branch, MS

Active since January 18, 2012
9659 GOODMAN RD, OLIVE BRANCH, MS 38654(662) 895-2501(662) 895-3464 Get Directions Write a Review

NPPES record last updated: January 18, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Desutter Chiropractic Clinic, Inc. NPPES

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

DESUTTER CHIROPRACTIC CLINIC, INC. (NPI 1881965283) is a healthcare organization registered as a chiropractor in Olive Branch, Mississippi and active in the NPI registry since January 2012. The organization lists Rachel Bumpous, Chirpractor's Asst, as its authorized official.

NPPES Registry Identity

NPI1881965283
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameDESUTTER CHIROPRACTIC CLINIC, INC.
Location Address9659 GOODMAN RDOlive Branch, MS 38654-1725
Mailing Address9659 Goodman RdOlive Branch, MS 38654-1725 · (662) 895-2501 · Fax (662) 895-3464
Fax(662) 895-3464
Organization SubpartNo
Authorized OfficialRachel BumpousChirpractor's Asst · (662) 895-2501
Enumeration DateJanuary 18, 2012
✔ NPI 1881965283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MS · 0059
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.
9659 GOODMAN RD, Olive Branch, MS 38654

Other Identifiers 1

Medicare UPIN350816730

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)

Desutter Chiropractic Clinic, Inc. 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 Desutter Chiropractic Clinic, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1780791202
9659 E. GOODMAN AVE
Olive Branch, MS 38654
(662) 895-2501
✔ 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 Desutter Chiropractic Clinic, Inc.'s NPI number?

The NPI number for Desutter Chiropractic Clinic, Inc. is 1881965283. It was assigned to this organization in the NPPES registry on January 18, 2012.

Where is Desutter Chiropractic Clinic, Inc. located?

Desutter Chiropractic Clinic, Inc. is located at 9659 Goodman Rd, Olive Branch, MS 38654. The listed phone number is (662) 895-2501.

What is Desutter Chiropractic Clinic, Inc.'s specialty?

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

Is Desutter Chiropractic Clinic, Inc. enrolled in Medicare?

Yes. Desutter Chiropractic Clinic, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Desutter Chiropractic Clinic, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Desutter Chiropractic Clinic, Inc.. 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 Desutter Chiropractic Clinic, Inc. was last updated on January 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.