Twin States Infusion Clinics, LLC

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

TWIN STATES INFUSION CLINICS, LLC

Practice address

2908 S Lamar Blvd
Oxford, MS 38655-5354

Phone

(662) 260-3366

Fax

(662) 269-1568

NPI assigned

May 4, 2021

Organization subpart

No

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

Authorized official

Name

Logan Davis

Title

Managing Member

Phone

(601) 482-7420

Specialties & licenses 1

Addresses

Other names 1

• North Mississippi Infusion Clinics Oxford Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Twin States Infusion Clinics, LLC

  • Infusion Therapy Clinic/Center
  • Corinth, MS
  • NPI 1437876000

  O20210707001832

  Same enrollment

Tax ID family

North Mississippi Infusion Clinics Oxford2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Twin States Infusion Clinics, LLC

  • Infusion Therapy Clinic/Center
  • Corinth, MS
  • NPI 1437876000
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Megan Blair Edwards, D.O.

  • Neurology Physician
  • Oxford, MS
  • NPI 1336550425
  Medicare reassignment Care Compare group NPD
• Andrew Linn Kerby, M.D.

  • Neurology Physician
  • Corinth, MS
  • NPI 1104844505
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1114500477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 S LAMAR BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555354",
            "telephone_number": "662-260-3366",
            "fax_number": "662-269-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 S LAMAR BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555354",
            "telephone_number": "662-260-3366",
            "fax_number": "662-269-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN STATES INFUSION CLINICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-04",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LOGAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "601-482-7420"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Mississippi Infusion Clinics Oxford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mikala Turner, B.S.W
• Ramsey Frey Turner, M.D.
• Rodney William Turner, PCMHT
• Adrianna Jade Tutor, BS
• Miranda C Tutor, MS
• Mary Joyce Tyler, M.ED., LMFT
• Tyson Big Tree LLC
• James Loyd Tyson Jr., M.S
• Matthew Miller Ueleke, BA
• Cady Ujvari, MA

• Infusion Therapy Clinic/Center in Oxford, MS
• Providers in Oxford, MS by specialty
• Infusion Therapy Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.