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).

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.

OrganizationActiveAccepts Medicare

Southern Regional Chiropractic and Rehabilitation Center

NPI 1134635360 · Chiropractor · Diberville, MS

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)

Practice location

11505 Cinema Dr Ste 7

Diberville, MS 39540

Phone: (228) 365-0449

Fax: (228) 365-2314

Street-level locationGet directions

More MS providers

Mailing address

11505 Cinema Dr Ste 7

Diberville, MS 39540-9703

Specialties & taxonomies

ChiropractorPrimary111N00000XLicense 1221 (MS)
Chiropractic Providers
Nurse Practitioner363L00000XLicense 901566 (MS)
Physician Assistants & Advanced Practice Nursing Providers

Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Established profile(69/100 index)

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.

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.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions