EMMANUEL RIDGE CHIROPRACTIC SERVICES — NPI 1871660852 (Licensed & Credentialed Chiropractic Providers

CMS-1500 Box 24J / 33a • NPI

1871660852

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

111NR0200X (CMS 35)

Licensed & Credentialed Chiropractic Providers — Chiropractor, Radiology

Box 32 Service Location & ZIP+4

2073 HIGHWAY 49 S, SUITE C, FLORENCE, MS, 39073-9422

✓ 9-Digit EDI 837 ZIP+4 (39073-9422)

Practice Phone & Referral Fax

(601) 709-3304

Fax: (601) 709-3308

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1871660852 (EMMANUEL RIDGE CHIROPRACTIC SERVICES) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1871660852` (NPI-2 Organization / Facility)
Provider / Legal Name	EMMANUEL RIDGE CHIROPRACTIC SERVICES
Plain-English Specialty	Licensed & Credentialed Chiropractic Providers — Chiropractor, Radiology NUCC Code: `111NR0200X` (Chiropractor, Radiology)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	2073 HIGHWAY 49 S, SUITE C, FLORENCE, MS, 39073-9422
Practice Telephone / Fax	Tel: (601) 709-3304 \| Fax: (601) 709-3308
Administrative Mailing Address	2073 HIGHWAY 49 S, FLORENCE, MS, 39073-9422
Enumeration & Last Sync	Enumerated: 2006-11-29 \| CMS Record Updated: 2020-08-22
Authorized Official	RONALD LITTLE (Chiropractor)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2073 HIGHWAY 49 S, SUITE C, FLORENCE, MS, 39073-9422

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Plain-English Taxonomy & CMS Crosswalk (111NR0200X)

What Does Taxonomy Code 111NR0200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 111NR0200X translates to:
"Licensed & Credentialed Chiropractic Providers — Chiropractor, Radiology"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 35 (Chiropractic)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Chiropractor, Radiology for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (EMMANUEL RIDGE CHIROPRACTIC SERVICES)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`111NR0200X` — Chiropractor, Radiology Plain English: Licensed & Credentialed Chiropractic Providers — Chiropractor, Radiology	State: MS \| License: `0972` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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EMMANUEL RIDGE CHIROPRACTIC SERVICES (NPI #1871660852)