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Deactivated NPI 1457480469 Deactivated / Inactive NPI Male Practitioner

Dr. Endre Dejuan Matthews , DC

Chiropractor • Jackson, MS

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Endre Matthews has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 05, 2007
NPI Deactivation Date January 09, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Endre Matthews, DC was a registered Chiropractor practicing in Jackson, MS. Throughout an active medical career spanning 18 years, Dr. Matthews provided care at the practice location at 108 E NORTHSIDE DR until profile deactivation on 2025-01-09.

Historical Medicare Part B clinical services included chiropractic manipulative treatment, 3-4 spinal regions, chiropractic manipulative treatment, 1-2 spinal regions. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

108 E Northside Dr

Jackson, MS 392065417

Telephone 6013669005
Fax 6013669005
Associated Practice Facility / Clinic
🏢 Matthews Chiropractic Clinic Facility NPI 1194955484

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Jackson, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.7 Yrs
State Avg: 23.4 Yrs
Regional Practice Density
14 Specialists

Practicing in Jackson, MS (354 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
23.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
215 33 $45.00 $36.28
98940 Chiropractic manipulative treatment, 1-2 spinal regions
70 18 $35.00 $25.03

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License MS 1015

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 09, 2025

Record deactivated on January 09, 2025

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 108 E NORTHSIDE DR, JACKSON, MS 392065417 (Tel: 6013669005)

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Updated Business Mailing Address July 09, 2007

Registered at 108 E NORTHSIDE DR, JACKSON, MS 392065417 (Tel: 6013669005)

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Provider Name / Credentials Updated July 09, 2007

Recorded as ENDRE MATTHEWS, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Chiropractor (License #1015 in MS)

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Initial NPI Registration & Enumeration March 05, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457480469
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 05, 2007
Last Update: July 09, 2007
Deactivation Date: January 09, 2025

Mailing Address

108 E Northside Dr

Jackson, MS 392065417

Phone: 6013669005

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.