Chiropractic Permits & Licenses in Biloxi, MS

Complete guide to permits and licenses required to start a chiropractic in Biloxi, MS. Fees, renewal cycles, and agency contacts.

Annual Report

Mississippi Secretary of State
Required
Fee: $0.00-$0.00
Renewal: one time
Type: registration

All active LLCs must file regardless of activity.

Chiropractic License

Mississippi State Board of Chiropractic Examiners
Required
Fee: $300.00-$300.00
Renewal: biennial
Type: license

Requires graduation from CCE-accredited chiropractic college, passage of NBCE Parts I-IV exams, and jurisprudence exam. Business owner/practitioner must hold individual license.

Assumed Name (DBA) Registration

Mississippi Secretary of State
May Apply
Fee: $25.00-$25.00
Renewal: one time
Type: registration

Required if business operates under trade name different from registered LLC name. Renewed upon LLC annual report.

Controlled Substances Registration (if prescribing)

Mississippi State Board of Pharmacy
May Apply
Fee: $25.00-$25.00
Renewal: annual
Type: registration

Chiropractors may qualify if authorized by board. Requires federal DEA registration first.

State Income Tax Registration (Form 13-V)

Mississippi Department of Revenue - Taxpayer Assistance
Required
Fee: $0.00-$0.00
Renewal: one time
Type: registration

All LLCs doing business in MS must register for withholding and sales/use tax if applicable. Single-member LLCs report on owner's return.

Sales Tax Permit (if selling tangible goods)

Mississippi Department of Revenue
May Apply
Fee: $0.00-$0.00
Renewal: one time
Type: permit

Chiropractic services generally exempt, but supplements/products may be taxable.

Mississippi Sales Tax Permit

Mississippi Department of Revenue
May Apply
Fee: $0.00-$0.00
Renewal: one time
Type: registration

Chiropractic services themselves are not subject to sales tax in Mississippi, but tangible goods sold to patients (e.g., braces, supplements) may be taxable. Registration required if selling such items.

Mississippi Withholding Tax Registration

Mississippi Department of Revenue
May Apply
Fee: $0.00-$0.00
Renewal: one time
Type: registration

Required for employers who withhold state income tax from employee wages. Employers must register and file Form 57-105 monthly or quarterly.

Mississippi Unemployment Insurance Tax (UI)

Mississippi Department of Employment Security
May Apply
Fee: $7000.00-$7000.00
Renewal: one time
Type: registration

Employers with one or more employees in a day for 20 weeks in a year must register. Tax rate varies by experience rating; new employers pay 2.7% on first $9,000 of wages per employee annually.

Certificate of Formation (LLC Registration)

Mississippi Secretary of State
Required
Fee: $50.00-$50.00
Renewal: one time
Type: registration

Required for all LLCs. Online filing available via SOS website.

General Liability Insurance

Not applicable
May Apply
Fee: $500.00-$2000.00
Renewal: one time
Type: certificate

Not legally mandated by Mississippi state law for all businesses, but effectively required through contractual obligations. Recommended to cover slip-and-fall or property damage claims.

Surety Bond (License Bond)

Mississippi State Department of Health
Required
Fee: $5000.00-$10000.00
Renewal: one time
Type: certificate

Mississippi does not require a surety bond for chiropractic licensure. The Mississippi Board of Chiropractic Examiners requires a $10,000 surety bond OR a $10,000 certificate of deposit OR a $10,000 irrevocable letter of credit as a form of financial responsibility under Rule 107-3-103. This is not a traditional surety bond but functions similarly. Most practitioners choose the bond option. Required for individual licensure, not the LLC entity directly, but essential for operation.

Mississippi Franchise Tax

Mississippi Secretary of State
Required
Fee: $150.00-$150.00
Renewal: annual
Type: registration

All LLCs in Mississippi must file an Annual Report and pay the franchise tax by April 1 each year, regardless of revenue or activity. This is a privilege tax for maintaining LLC status.

Local Business License or Privilege Tax

Varies by municipality
May Apply
Fee: $25.00-$100.00
Renewal: one time
Type: registration

Most cities and counties in Mississippi (e.g., Jackson, Gulfport, Hattiesburg) require a local business license or privilege tax. Contact local clerk for specific requirements. Not required in unincorporated areas unless county mandates it.

Mississippi State Income Tax Filing (Pass-Through Entity)

Mississippi Department of Revenue
Required
Fee: $0.00-$0.00
Renewal: annual
Type: permit

LLCs are pass-through entities. Business income flows to owners' personal Mississippi income tax returns (Form 83). No entity-level state income tax, but owners must report and pay tax on their share of profits.

Mississippi LLC Annual Report Fee

Mississippi Secretary of State
Required
Fee: $150.00-$150.00
Renewal: one time
Type: registration

All LLCs, including those with no income, must file an Annual Report by April 1 each year. This maintains good standing; no separate 'franchise tax' exists in Mississippi.

National Provider Identifier (NPI) Registration

CMS (Federal)
May Apply
Fee: $0.00-$0.00
Renewal: one time
Type: registration

Required for all healthcare providers who bill third parties. Must be obtained before filing claims.

City Business Privilege License

City of Jackson, MS
Required
Fee: $50.00-$500.00
Renewal: annual
Type: license

Required for all businesses operating within Jackson city limits. Chiropractic offices classified under professional services.

Hinds County Business Privilege License

Hinds County, MS
May Apply
Fee: $25.00-$25.00
Renewal: annual
Type: license

Applies if business is in unincorporated areas; cities like Jackson have their own licenses. Fees based on 2023 schedule.

Zoning Compliance Permit

City of Jackson Planning Department
Required
Fee: $250.00-$250.00
Renewal: one time
Type: permit

Chiropractic offices permitted in C-2/C-3 commercial zones per Jackson Zoning Ordinance Sec. 90.030. Site plan review required.

Home Occupation Permit

City of Jackson Planning Department
May Apply
Fee: $50.00-$50.00
Renewal: one time
Type: permit

Limited to 25% of home floor area; no more than 1 non-resident employee. Prohibited if generating traffic/noise issues (Jackson Code Sec. 90-351).

Commercial Auto Insurance

Mississippi Department of Public Safety – Office of Motor Vehicles
May Apply
Fee: $1200.00-$2800.00
Renewal: one time
Type: certificate

Required under Mississippi’s Financial Responsibility Law (Miss. Code Ann. § 63-15-1) for any vehicle registered to the business. Minimum liability limits: $25,000 bodily injury per person, $50,000 per accident, $25,000 property damage.

Product Liability Insurance

Not applicable
May Apply
Fee: $1000.00-$5000.00
Renewal: one time
Type: certificate

Not specifically mandated by statute, but Mississippi follows product liability under common law and Miss. Code Ann. § 63-11-1 (Uniform Commercial Code). Businesses selling tangible goods assume liability risk. Strongly recommended and often required by suppliers or distributors.

Liquor Liability Insurance

Not applicable
May Apply
Fee: $500.00-$2000.00
Renewal: one time
Type: certificate

Not applicable to chiropractic practices unless hosting events with alcohol service. Mississippi does not typically require liquor liability insurance per se, but businesses with alcohol permits may be subject to dram shop liability under Miss. Code Ann. § 67-1-7. Chiropractic clinics do not fall under this unless hosting social events with alcohol.

Employer Identification Number (EIN) for LLC

Internal Revenue Service (IRS)
May Apply
Renewal: one time
Type: permit

Single-member LLCs without employees may use the owner's SSN, but obtaining an EIN is recommended for liability separation. Chiropractic practices with employees must have an EIN.

Federal Income and Self-Employment Tax Obligations for LLC

Internal Revenue Service (IRS)
May Apply
Renewal: one time
Type: filing

By default, a single-member LLC is disregarded for federal tax purposes (reported on Schedule C), and multi-member LLCs are treated as partnerships (Form 1065). Owners pay self-employment tax on net income.

OSHA Workplace Safety Compliance

Occupational Safety and Health Administration (OSHA)
May Apply
Renewal: one time
Type: permit

Chiropractic offices must comply with general industry standards (29 CFR 1910), including posting OSHA Form 300A (if required), providing hazard communication training, and maintaining injury logs if over 10 employees. Most small chiropractic offices are exempt from routine inspections but must still comply.

Americans with Disabilities Act (ADA) Title III Compliance

Department of Justice (DOJ)
Required
Fee: $0.00-$10000.00
Renewal: one time
Type: permit

Chiropractic clinics are public accommodations under ADA Title III. Must ensure physical access (ramps, door widths, restrooms), accessible medical equipment (e.g., exam tables with transfer supports), and digital accessibility (website, online scheduling). DOJ emphasizes accessible exam tables for patients with disabilities.

EPA Requirements for Medical Waste and Equipment

Environmental Protection Agency (EPA)
May Apply
Fee: $0.00-$500.00
Renewal: one time
Type: permit

Most chiropractic offices do not generate federally regulated hazardous waste. However, if using chemical disinfectants classified as hazardous, proper storage, labeling, and disposal through licensed haulers may be required under RCRA. No federal EPA license is required for standard chiropractic operations.

FTC Compliance with Advertising and Consumer Protection

Federal Trade Commission (FTC)
Required
Renewal: one time
Type: permit

FTC enforces truth-in-advertising rules. Chiropractic claims must be truthful, not misleading, and substantiated by scientific evidence. Prohibited: unsubstantiated claims of curing diseases (e.g., "cures back pain permanently"). Applies to websites, social media, and promotional materials.

DOL I-9 Employment Eligibility Verification

Department of Homeland Security (DHS) in coordination with DOL/ICE
May Apply
Renewal: one time
Type: permit

All employers, including chiropractic LLCs, must complete Form I-9 for each employee to verify identity and work authorization. E-Verify is not federally mandated unless in a state with such a law or federal contractor.

DOL Fair Labor Standards Act (FLSA) Compliance

Department of Labor (DOL)
May Apply
Renewal: one time
Type: permit

FLSA sets minimum wage ($7.25/hour), overtime (1.5x regular rate after 40 hours/week), and recordkeeping rules. Chiropractors are typically exempt professionals; support staff may be non-exempt and entitled to overtime.

DOL Family and Medical Leave Act (FMLA) Compliance

Department of Labor (DOL)
May Apply
Renewal: one time
Type: permit

Requires eligible employees (12 months, 1,250 hours) to receive up to 12 weeks of unpaid, job-protected leave annually for qualifying medical/family reasons. Most small chiropractic practices do not meet the 50-employee threshold.

FDA Regulation of Chiropractic Devices

Food and Drug Administration (FDA)
May Apply
Fee: $0.00-$0.00
Renewal: one time
Type: permit

Chiropractors use Class I and II medical devices (e.g., adjusting tools, therapeutic ultrasound). While practitioners are not required to register with FDA, they must use FDA-cleared devices as intended and report adverse events via MedWatch if serious. X-ray machines must comply with performance standards (21 CFR Subchapter J).

Building Permit

City of Jackson Building Permits Division
May Apply
Renewal: one time
Type: permit

Required for interior alterations, additions, or new builds per International Building Code (adopted locally).

Sign Permit

City of Jackson Sign Permits
May Apply
Fee: $5.00-$5.00
Renewal: one time
Type: permit

Max height 25 ft in commercial zones; electronic signs restricted (Jackson Zoning Ordinance Sec. 90-421).

Fire Safety Inspection and Permit

Jackson Fire Department
Required
Fee: $75.00-$75.00
Renewal: annual
Type: permit

Required for all commercial occupancies >3,000 sq ft or with assembly areas. Comply with MS Fire Code.

Certificate of Occupancy

City of Jackson Building Official
May Apply
Fee: $75.00-$150.00
Renewal: one time
Type: permit

Issued after zoning, building, fire, and health approvals.

Fire Alarm Permit

Jackson Fire Department
May Apply
Fee: $75.00-$75.00
Renewal: one time
Type: permit

Monitored systems must register with Fire Dept (Jackson Code Sec. 22-272).

Health Department Plan Review and Permit

Mississippi State Department of Health - Hinds County Health Department
May Apply
Fee: $200.00-$200.00
Renewal: one time
Type: permit

Chiropractic offices typically low-risk but waiting rooms trigger review under MS Rules 15-12-1. Not food-related.

Burglar Alarm Permit

DeSoto County, MS
May Apply
Fee: $50.00-$50.00
Renewal: annual
Type: permit

Required to reduce false alarms.

Workers' Compensation Insurance

Mississippi Workers' Compensation Commission
May Apply
Fee: $1000.00-$3000.00
Renewal: one time
Type: certificate

Mandatory for employers with five or more employees under Miss. Code Ann. § 71-3-7. Sole proprietors and partners are exempt unless they opt-in. Chiropractors employing staff (e.g., assistants, receptionists) must carry coverage.

Professional Liability Insurance (Malpractice)

Mississippi Board of Chiropractic Examiners
Required
Fee: $3000.00-$8000.00
Renewal: one time
Type: certificate

While not explicitly mandated in statute as a condition of licensure, the Mississippi Board of Chiropractic Examiners requires adherence to standard of care under Miss. Admin. Code 107-3-100, which implies malpractice insurance as an industry standard. Most facilities and hospitals require proof of coverage for credentialing. Strongly recommended and de facto required for professional viability.

Federal Reporting of Data Breaches Involving Protected Health Information

Department of Health and Human Services (HHS)
May Apply
Fee: $0.00-$0.00
Renewal: one time
Type: filing

Under HIPAA, chiropractic practices are considered covered entities if they electronically transmit any health information (e.g., claims to Medicare). Must report breaches of unsecured protected health information (PHI) to HHS, affected individuals, and possibly media.

HIPAA Privacy and Security Rule Compliance

Department of Health and Human Services (HHS)
May Apply
Fee: $0.00-$10000.00
Renewal: one time
Type: permit

Chiropractic practices that use EHR systems, bill insurance electronically, or store patient records digitally are covered entities under HIPAA. Must implement administrative, physical, and technical safeguards, conduct a risk analysis, maintain documentation, and enter BAAs with vendors. Paper records are also protected.

Mississippi Annual Report Filing for LLCs

Mississippi Secretary of State
Required
Fee: $50.00-$50.00
Renewal: annual
Type: permit

All LLCs registered in Mississippi must file an annual report by April 1st annually. The report includes business address, registered agent, and management structure. Filed online via the Secretary of State’s website.

Mississippi Chiropractic License Renewal

Mississippi Board of Chiropractic Examiners
Required
Fee: $150.00-$150.00
Renewal: biennial
Type: license

All licensed chiropractors must renew their license biennially. Renewal requires verification of active status, compliance with disciplinary disclosures, and proof of continuing education completion.

Continuing Education (CE) Requirement for Chiropractors

Mississippi Board of Chiropractic Examiners
Required
Fee: $100.00-$300.00
Renewal: biennial
Type: certificate

Chiropractors must complete 30 hours of board-approved continuing education every two years, including at least 3 hours in ethics or jurisprudence. CE must be documented and retained for audit.

Federal Employer Identification Number (EIN) Reporting

Internal Revenue Service (IRS)
May Apply
Renewal: one time
Type: filing

Required if the LLC has employees. Includes filing Form 941 quarterly, Form 940 annually, and W-2 forms by January 31. EIN is obtained once but triggers ongoing tax reporting.

Mississippi Sales Tax License Renewal

Mississippi Department of Revenue
May Apply
Fee: $0.00-$0.00
Renewal: biennial
Type: license

Sales tax license is issued once but requires ongoing monthly or quarterly filings (Form ST-12) based on volume. No expiration, but must remain active if collecting sales tax.

OSHA Poster Display (Job Safety and Health Protection)

Occupational Safety and Health Administration (OSHA)
May Apply
Fee: $0.00-$0.00
Renewal: one time
Type: permit

The OSHA Form 2203 (Job Safety and Health Protection) poster must be visibly posted in a common area accessible to employees. Available for free download from OSHA website.

Mississippi Workers’ Compensation Insurance Coverage

Mississippi Workers’ Compensation Commission
May Apply
Renewal: one time
Type: certificate

Mandatory for all employers with five or more employees in Mississippi. Applies even if only one employee is full-time. Must file Form WC-1 annually or as required.

Display of Chiropractic License

Mississippi Board of Chiropractic Examiners
Required
Fee: $0.00-$0.00
Renewal: one time
Type: permit

The original or a legible copy of the current chiropractic license must be displayed in a prominent location visible to patients.

Business License Renewal (Local/Municipal)

Local County or City Government (e.g., Jackson, Gulfport, Hattiesburg)
May Apply
Fee: $50.00-$200.00
Renewal: annual
Type: permit

Most cities and counties in Mississippi require a local business license. Renewal dates and fees vary. Example: Jackson, MS requires annual renewal with the Planning & Development Department.

IRS Estimated Tax Payments (Self-Employment)

Internal Revenue Service (IRS)
May Apply
Renewal: varies
Type: filing

LLC owners must make quarterly estimated tax payments using Form 1040-ES if net profit exceeds IRS thresholds. Applies to sole proprietors and partners in multi-member LLCs.

Mississippi Estimated Income Tax Payments

Mississippi Department of Revenue
May Apply
Renewal: varies
Type: permit

Required for LLC owners subject to Mississippi individual income tax. Payments made via Form 80-101ES.

Record Retention for Tax and Licensing Purposes

Internal Revenue Service, Mississippi Department of Revenue
Required
Renewal: one time
Type: permit

IRS recommends keeping business tax records for at least 3 years. Employment tax records must be kept for at least 4 years. Chiropractic patient records must be retained for 7 years under HIPAA and state law.

HIPAA Privacy and Security Compliance

U.S. Department of Health and Human Services (HHS)
May Apply
Fee: $500.00-$5000.00
Renewal: one time
Type: permit

All chiropractic practices must comply with HIPAA. Includes maintaining privacy policies, conducting risk assessments, training staff, and securing electronic records. Annual review and updates required.

Fire Inspection for Commercial Occupancies

Mississippi State Fire Marshal’s Office
May Apply
Fee: $0.00-$0.00
Renewal: annual
Type: permit

Chiropractic offices are considered assembly occupancies. Inspections include checking exits, fire extinguishers, smoke detectors, and electrical safety. Frequency may vary by jurisdiction.

Display of Mississippi Business License and Zoning Permit

Local Municipal Government (e.g., City Clerk)
May Apply
Fee: $0.00-$0.00
Renewal: one time
Type: permit

Some cities require display of local business license and zoning compliance certificate inside the business entrance. Check with city clerk for specific posting rules.

Step-by-Step Compliance Guide

  1. Begin by obtaining an Employer Identification Number (EIN) from the Internal Revenue Service, which is required even if you don't plan to hire employees.
  2. Ensure your chiropractic practice complies with the Americans with Disabilities Act (ADA) Title III, with potential costs ranging from $1500 to $20000.
  3. The Federal Trade Commission (FTC) requires enforcement of advertising claims related to chiropractic services, with no initial fee.
  4. Comply with FTC regulations regarding advertising and consumer protection, as the FTC monitors truthfulness and substantiation of claims.
  5. File federal income and self-employment taxes with the IRS, remembering that the fee varies based on your income.
  6. Maintain thorough business records as mandated by the IRS, though there is no associated fee for this requirement.
  7. Address Federal Tax Filings, including income and estimated taxes, annually with the IRS, with no initial fee.
  8. Understand and adhere to the Corporate Transparency Act requirements through the Financial Crimes Enforcement Network (FinCEN), which may involve fees.

Common Mistakes to Avoid

  • Assuming ADA compliance is a one-time effort; ongoing assessments are crucial.
  • Ignoring the FTC's scrutiny of advertising claims, even seemingly minor ones.
  • Failing to properly categorize and report self-employment income to the IRS.
  • Neglecting to retain essential business records for the required period.
  • Believing that Professional Liability/E&O insurance is optional for a chiropractic practice.

Frequently Asked Questions

What is ADA Title III compliance?

ADA Title III ensures your Biloxi chiropractic practice is accessible to individuals with disabilities; this includes physical access to your office and effective communication practices. Costs can vary significantly, ranging from $0 to $20000, depending on necessary modifications.

What advertising claims does the FTC regulate for chiropractic services?

The FTC scrutinizes claims related to the effectiveness of chiropractic treatments, ensuring they are truthful and substantiated by evidence. This includes claims about pain relief, improved mobility, or other health benefits.

How often do I need to file federal taxes as a chiropractor in Biloxi?

You will need to file federal income and self-employment taxes annually with the IRS. Depending on your income level, you may also need to make estimated tax payments quarterly.

What are the potential costs associated with Professional Liability/Errors and Omissions (E&O) insurance?

E&O insurance for a chiropractic practice in Biloxi typically ranges from $1000 to $3000, and is a one-time requirement. This insurance protects you against claims of negligence or malpractice.

Is there a fee associated with obtaining an EIN from the IRS?

No, there is no fee to obtain an Employer Identification Number (EIN) from the IRS. You can apply for an EIN online through the IRS website, and it is required even if you do not have employees.

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