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GREEN COUNTRY SPINE & SPORT, PLLC
NPI 1942586706
Chiropractor in Vinita, OK

Active since October 25, 2011
803 N FOREMAN ST, VINITA, OK 74301(918) 256-5111(918) 256-5222 Get Directions Write a Review

NPPES record last updated: August 27, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Green Country Spine & Sport, Pllc NPPES

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

GREEN COUNTRY SPINE & SPORT, PLLC (NPI 1942586706) is a healthcare organization registered as a chiropractor in Vinita, Oklahoma and active in the NPI registry since October 2011. The organization lists Joseph Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1942586706
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameGREEN COUNTRY SPINE & SPORT, PLLC
Location Address803 N FOREMAN STVinita, OK 74301-1435
Mailing AddressPo Box 248Vinita, OK 74301-0248 · (918) 256-5111 · Fax (918) 256-5222
Phone(918) 256-5111
Fax(918) 256-5222
Organization SubpartNo
Authorized OfficialJoseph ClarkOwner · (918) 256-5111
Enumeration DateOctober 25, 2011
Last NPPES UpdateAugust 27, 2013
✔ NPI 1942586706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OK · 4016
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.
803 N FOREMAN ST, Vinita, OK 74301
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Other Identifiers 2

Medicaid200449820AOK
OtherOKAAA2678OK · Medicare Ptan

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Green Country Spine & Sport, 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 Green Country Spine & Sport, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Joseph Clark, D.C.
Chiropractic
NPI 1750304481
803 N FOREMAN ST
Vinita, OK 74301
(918) 256-5111
✔ 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 Green Country Spine & Sport, PLLC's NPI number?

The NPI number for Green Country Spine & Sport, PLLC is 1942586706. It was assigned to this organization in the NPPES registry on October 25, 2011.

Where is Green Country Spine & Sport, PLLC located?

Green Country Spine & Sport, PLLC is located at 803 N Foreman St, Vinita, OK 74301. The listed phone number is (918) 256-5111.

What is Green Country Spine & Sport, PLLC's specialty?

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

Is Green Country Spine & Sport, PLLC enrolled in Medicare?

Yes. Green Country Spine & Sport, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Green Country Spine & Sport, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Green Country Spine & Sport, 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.

What insurance does Green Country Spine & Sport, PLLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Green Country Spine & Sport, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Green Country Spine & Sport, PLLC was last updated on August 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.