Med-South, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

04720/11.1 Issued in MS

Legal business name

MED-SOUTH, INC.

Practice address

7048 Old Canton Rd Ste 220
Ridgeland, MS 39157-1021

Phone

(601) 933-8400

Fax

(601) 933-1103

NPI assigned

Jan 11, 2006

Last updated

May 6, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Troy Todd Kestenbaum

Title

Vice President

Phone

(601) 933-8400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Baptist Home Medical Services

  • Durable Medical Equipment & Medical Supplies
  • Jackson, MS
  • NPI 1598741266
  NPPES parent name
• Msi Home Medical Services, LLC

  • Durable Medical Equipment & Medical Supplies
  • Meridian, MS
  • NPI 1265418958
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557100800000",
    "number": "1063491843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1277",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392151277",
            "telephone_number": "601-933-8400",
            "fax_number": "601-933-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7048 OLD CANTON RD STE 220",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571021",
            "telephone_number": "601-933-8400",
            "fax_number": "601-933-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-SOUTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2019-05-06",
        "status": "A",
        "authorized_official_last_name": "KESTENBAUM",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "601-933-8400"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "04720/11.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00440069",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca McWhirter, NP
• Michael Preston McWilliams
• Mea Primary Care Plus LLC (MEA Cares)
• Mea Primary Care Plus LLC
• Mea Primary Care Plus, LLC
• Medical Supplies Unlimited Inc
• Medicomp Physical Therapy Ridgeland, Inc. (Medicomp Physical Therapy Ridgeland)
• Medworx Compounding LLC
• Medworx Home Medical Supplies LLC
• Jamie Beth Meeks, CCC-SLP

• Durable Medical Equipment & Medical Supplies in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Durable Medical Equipment & Medical Supplies in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.