Organization Active NPI

Harris Medical Supply Group, LLC

  • Dialysis Equipment & Supplies (DME)
  • Ridgeland, MS
National Provider Identifier
1063536852
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dialysis Equipment & Supplies (DME)Taxonomy code 332BD1200X
Legal business name
HARRIS MEDICAL SUPPLY GROUP, LLC
Practice address
720 Avignon Dr
Suite 3
Ridgeland, MS 39157-5166
Phone
(601) 427-2469
Fax
(866) 860-3857
NPI assigned
Mar 19, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Terris Caton Harris, J.D., LL.M.
Title
Ceo
Phone
(601) 427-2469

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Dialysis Equipment & Supplies (DME) 332BD1200X NU Primary
Nursing Facility Supplies (DME) 332BN1400X NU
Oxygen Equipment & Supplies (DME) 332BX2000X NU

Addresses

Primary practice location

720 Avignon Dr
Suite 3
Ridgeland, MS 39157-5166

Mailing address

PO Box 806
Ridgeland, MS 39158-0806
Phone (601) 427-2469

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1063536852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 806",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391580806",
            "telephone_number": "601-427-2469",
            "fax_number": "866-860-3857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 AVIGNON DR",
            "address_2": "SUITE 3",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391575166",
            "telephone_number": "601-427-2469",
            "fax_number": "866-860-3857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS MEDICAL SUPPLY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "TERRIS",
        "authorized_official_middle_name": "CATON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-427-2469",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "J.D., LL.M."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.