NPIMap

Organization Active NPI

Total Imaging of Mississippi

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Meridian, MS
National Provider Identifier
1114582848
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
Legal business name
TOTAL IMAGING OF MISSISSIPPI
Practice address
1000 14TH St
Meridian, MS 39301-4457
Phone
(601) 621-9696
Fax
(601) 621-9690
NPI assigned
May 8, 2019
Last updated
Jul 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Authorized official

Name
Dr. Stephen Kay, DPTNPI 1578836599
Title
Physical Therapist/Owner
Phone
(601) 917-9680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X NU Primary

Addresses

Primary practice location

1000 14TH St
Meridian, MS 39301-4457

Mailing address

1000 14TH St
Meridian, MS 39301-4457
Phone (601) 621-9696

Other identifiers 1

IdentifierTypeStateIssuer
04735251MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114582848. Details of each certification follow.

Portable X-ray supplier certification: CCN 25X0009819

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
TOTAL IMAGING OF MISSISSIPPI
Certification status
Active
Provider type (POS)
Portable X-ray supplier
Participating since
Mar 19, 2020
Last certification
Sep 15, 2023
Ownership / control type
Individual
Facility address
1000 14TH Street
Meridian, MS 39301

National Provider Directory

National Provider Directory

Locations

1216 11th Ave
Meridian, MS 39301
Phone (601) 621-9696

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1114582848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 14TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014457",
            "telephone_number": "601-621-9696",
            "fax_number": "601-621-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 14TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014457",
            "telephone_number": "601-621-9696",
            "fax_number": "601-621-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL IMAGING OF MISSISSIPPI",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-08",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "KAY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "601-917-9680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04735251",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.