Southern Regional Chiropractic and Rehabilitation Center
NPI 1134635360ActiveOrganization· Chiropractor· Diberville, MS
Chiropractor in Diberville, Mississippi, registered in NPPES in December 2017. The authorized official on file is Susan Lee Keenum, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1134635360 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 26, 2017 |
| Last updated in NPPES | Jul 10, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 1221 | MS |
| Nurse Practitioner | 363L00000X | 901566 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
Other Chiropractor providers in Diberville
- 1376163683
- 1700022951
- 1235418807
- 1760654925
- 1477719847