Southern Regional Chiropractic and Rehabilitation Center
NPI 1134635360 · Chiropractor · Diberville, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Regional Chiropractic and Rehabilitation Center is a Chiropractor organization in Diberville, MS (NPI 1134635360).
Provider details
- NPI number
- 1134635360
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Susan Keenum, Owner(228) 860-5027
- License
- 901566 (MS)
Specialties & taxonomies
Chiropractic Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-12-26
- Last updated
- 2018-07-10
Frequently asked questions
- What is Southern Regional Chiropractic and Rehabilitation Center's NPI number?
- Southern Regional Chiropractic and Rehabilitation Center's National Provider Identifier (NPI) is 1134635360, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Regional Chiropractic and Rehabilitation Center?
- Southern Regional Chiropractic and Rehabilitation Center is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Southern Regional Chiropractic and Rehabilitation Center located?
- Southern Regional Chiropractic and Rehabilitation Center's practice location on file with NPPES is 11505 Cinema Dr Ste 7, Diberville, MS 39540.
- What is Southern Regional Chiropractic and Rehabilitation Center's phone number?
- The practice phone number listed in the NPPES registry for Southern Regional Chiropractic and Rehabilitation Center is (228) 365-0449.
- Does Southern Regional Chiropractic and Rehabilitation Center accept Medicare?
- Southern Regional Chiropractic and Rehabilitation Center is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southern Regional Chiropractic and Rehabilitation Center?
- The authorized official listed on Southern Regional Chiropractic and Rehabilitation Center's NPPES record is Susan Keenum, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Regional Chiropractic and Rehabilitation Center's NPI active?
- Yes — Southern Regional Chiropractic and Rehabilitation Center's NPI (1134635360) is active in the NPPES registry as of the last update on 2018-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.