Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Carson Samuel Jordan I, DC

Individual provider Chiropractor · NPI 1831942416

Dr. Carson Samuel Jordan I, DC is a Chiropractic in Wiggins, Mississippi. Graduated from Life Chiropractic College in 2024, 2 years ago. Licensed in Mississippi.

Years since qualifying
2
Trained at
Life Chiropractic College
Licensed in
MS
In the registry since
2024
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

1725 Central Ave W
Wiggins, MS 39577-2434
Phone: (601) 928-9095
Fax: (601) 928-9383
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 1394 (MS)

Record details

NPI number1831942416
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedApril 11, 2024
Last updated in NPPESApril 11, 2024
Certification dateApril 11, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolLIFE CHIROPRACTIC COLLEGE
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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