Medicomp, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MEDICOMP, INC.

Practice address

1392 W Government St # C
Brandon, MS 39042-3049

Phone

(601) 824-8814

Fax

(601) 824-8816

NPI assigned

Nov 24, 2010

Last updated

Mar 17, 2018By 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

Mr. Joseph S McNulty III

Title

Ceo

Phone

(601) 849-6440

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Medicomp Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

• Medicomp, Inc

  dba Dogwood Physical Therapy

  • Physical Therapist
  • Flowood, MS
  • NPI 1407158454
  NPD tax ID
• Medicomp, Inc

  dba Amory Physical Therapy

  • Physical Therapist
  • Amory, MS
  • NPI 1518398833
  NPD tax ID
• Medicomp, Inc

  dba Mdicomp Physical Therapy Flowood

  • Physical Therapist
  • Magee, MS
  • NPI 1548305360
  NPD tax ID
• Medicomp, Inc.

  dba Medicomp Physical Therapy Pearl

  • Physical Therapy Clinic/Center
  • Pearl, MS
  • NPI 1336509728
  NPD tax ID
• Medicomp, Inc.

  dba Forest Physical Therapy

  • Physical Therapist
  • Forest, MS
  • NPI 1861794810
  NPD tax ID
• Medicomp, Inc.

  dba Medicomp Physical Therapy Blakely

  • Physical Therapy Clinic/Center
  • Blakely, GA
  • NPI 1033574579
  NPD tax ID
• Medicomp, Inc.

  dba Medicomp Physical Therapy Patrick

  • Physical Therapy Clinic/Center
  • Stuart, VA
  • NPI 1669837241
  NPD tax ID
• Medicomp, Inc.

  dba Medicomp Physical Therapy King

  • Physical Therapy Clinic/Center
  • King, NC
  • NPI 1780049353
  NPD tax ID
• Medicomp, Inc.

  dba Medicomp Physical Therapy Oneida

  • Physical Therapy Clinic/Center
  • Oneida, TN
  • NPI 1952766537
  NPD tax ID

Locations

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

{
    "created_epoch": "1290556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1114229168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1392 W GOVERNMENT ST # C",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390423049",
            "telephone_number": "601-824-8814",
            "fax_number": "601-824-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1392 W GOVERNMENT ST # C",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390423049",
            "telephone_number": "601-824-8814",
            "fax_number": "601-824-8816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2015 Highpointe Drive",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "MS",
            "postal_code": "390420000",
            "country_code": "US",
            "telephone_number": "601-824-8814",
            "fax_number": "601-824-8816",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2015 Highpointe Drive",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "MS",
            "postal_code": "390420000",
            "country_code": "US",
            "telephone_number": "601-824-8814",
            "fax_number": "601-824-8816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDICOMP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-24",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "MCNULTY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-849-6440",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07923828",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Shawntae Renea Melvin, FNP
• Quianti Merchant
• Nena M Merrite Williams, LMFT
• Joshua Michael
• Courtney Middleton

• Physical Therapist in Brandon, MS
• Providers in Brandon, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.