OrganizationActive
Booneville Chiropractic Clinic, P.A.
NPI 1154697910 · Clinic/Center · Booneville, MS
Provider details
- NPI number
- 1154697910
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Derrick Blythe, President(662) 728-7414
- License
- 885 (MS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
105b N 2nd St
Booneville, MS 38829-3207
Phone: (662) 728-7414
Fax: (662) 728-4163
Street-level locationGet directions
Mailing address
105b N 2nd St
Booneville, MS 38829-3207
Registry dates
- Enumerated
- 2012-03-27
- Last updated
- 2012-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.