Mid South Ambulatory Services, LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

MID SOUTH AMBULATORY SERVICES, LLC

Practice address

5628 Murray Ave Ste 1
Memphis, TN 38119-3876

Phone

(901) 237-9791

NPI assigned

Jan 27, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Tyra Zanders Taylor

Title

Owner, Member

Phone

(901) 237-9791

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618617600000",
    "number": "1104249127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5628 MURRAY AVE STE 1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193876",
            "telephone_number": "901-237-9791",
            "fax_number": "901-257-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5628 MURRAY AVE STE 1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193876",
            "telephone_number": "901-237-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID SOUTH AMBULATORY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-27",
        "last_updated": "2021-04-17",
        "certification_date": "2021-04-17",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "TYRA",
        "authorized_official_middle_name": "ZANDERS",
        "authorized_official_title_or_position": "OWNER, MEMBER",
        "authorized_official_telephone_number": "901-237-9791",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Michael, DPT
• Ian Michalak, MD
• Layna Hyde Michalik, DNP
• Kewida Michaud, LPN
• Michelle James Family Care, PLLC
• Mid South Medical Associates
• Mid South Psychiatry, PLLC
• Mid South Regional Thoracic Center, LLC
• Mid South Residential Care Center
• Mid South Senior Care, LLC

• All providers in Memphis, TN
• Non-emergency Medical Transport (VAN) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2021; 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.