PAUL DOUGLAS MURRY D.C.
NPI 1962664516
Chiropractor in Vicksburg, MS

Active since June 25, 2008
919 MISSION 66, VICKSBURG, MS 39183(601) 636-8771 Get Directions Write a Review

NPPES record last updated: January 16, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Paul Douglas Murry D.c. NPPES

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

PAUL DOUGLAS MURRY D.C. (NPI 1962664516) is an individual chiropractor in Vicksburg, Mississippi, licensed in Mississippi (1077) and active in the NPI registry since June 2008. He is a graduate of Other (2000).

NPPES Registry Identity

NPI1962664516
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NamePAUL DOUGLAS MURRYCredential: D.C.
Location Address919 MISSION 66Vicksburg, MS 39183-2751
Mailing Address1109 Mission Park DrVicksburg, MS 39180-3700 · (601) 636-8771 · Fax (601) 634-1004
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateJune 25, 2008
Last NPPES UpdateJanuary 16, 2019
✔ NPI 1962664516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MS · 1077
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.
919 MISSION 66, Vicksburg, MS 39183

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul Douglas Murry D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971549783
PECOS Enrollment IDI20050701000532

Medicare Billing Reassignment

Medicare enrollment records show Paul Murry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chiropractor
919 MISSION 66
Vicksburg, MS 39183
  • Reassigned Medicare billing, Mississippi enrollment
  • 2 clinicians in this Medicare group

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.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
309 services20 patients

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
919 MISSION 66
VICKSBURG, MS 39183
Chiropractor
919 MISSION 66
VICKSBURG, MS 39183
Clinic/Center (Primary Care)
919 MISSION 66
VICKSBURG, MS 39183
Nurse Practitioner (Family)
919 MISSION 66
VICKSBURG, MS 39183

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 Paul Murry's NPI number?

The NPI number for Paul Murry is 1962664516. It was assigned to this individual provider in the NPPES registry on June 25, 2008.

Where is Paul Murry located?

Paul Murry practices at 919 Mission 66, Vicksburg, MS 39183. The listed phone number is (601) 636-8771.

What is Paul Murry's specialty?

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

Is Paul Murry enrolled in Medicare?

Yes. Paul Murry is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Paul Murry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Murry reassigns Medicare benefits to River City Chiropractic Clinic LLC (Vicksburg, 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 Paul Murry'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 Paul Murry was last updated on January 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.