Organization Active NPI

Jmedinc

  • Durable Medical Equipment & Medical Supplies
  • Jackson, MS
National Provider Identifier
1063628584
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
06614111 Issued in MS
Legal business name
JMEDINC
Practice address
440 Bounds St
Jackson, MS 39206-4138
Phone
(601) 946-2767
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jamie Wright
Title
Owner
Phone
(601) 946-2767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 06614111 MS Primary

Addresses

Primary practice location

440 Bounds St
Jackson, MS 39206-4138

Mailing address

PO Box 2031
Ridgeland, MS 39158-2031
Phone (601) 946-2767

Other identifiers 1

IdentifierTypeStateIssuer
08422504MedicaidMS

National Provider Directory

National Provider Directory

Locations

440 Bounds St
Jackson, MS 39206
Phone (601) 946-2767

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063628584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2031",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391582031",
            "telephone_number": "601-946-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 BOUNDS ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392064138",
            "telephone_number": "601-946-2767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMEDINC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-946-2767"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "06614111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08422504",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.