Active NPI
Marquidas Medical Wigs LLC
- Durable Medical Equipment & Medical Supplies
- Vicksburg, MS
National Provider Identifier
1144127408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MARQUIDAS MEDICAL WIGS LLC
- Practice address
- 116 Fleetwood Dr
Vicksburg, MS 39180-9316 - Phone
- (601) 218-5655
- NPI assigned
- Oct 21, 2026
- Last updated
- Oct 21, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marquida Cook
- Title
- Hair Loss Specialist
- Phone
- (601) 218-5655
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
116 Fleetwood Dr
Vicksburg, MS 39180-9316
Mailing address
116 Fleetwood Dr
Vicksburg, MS 39180-9316
Phone (601) 218-5655
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Prosthetics Case Management
- Vicksburg, MS
- NPI 1205640695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792540800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792540800000",
"number": "1144127408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 FLEETWOOD DR",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "391809316",
"telephone_number": "601-218-5655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 FLEETWOOD DR",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "391809316",
"telephone_number": "601-218-5655"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARQUIDAS MEDICAL WIGS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-21",
"last_updated": "2026-10-21",
"certification_date": "2026-10-21",
"status": "A",
"authorized_official_last_name": "COOK",
"authorized_official_first_name": "MARQUIDA",
"authorized_official_title_or_position": "HAIR LOSS SPECIALIST",
"authorized_official_telephone_number": "601-218-5655"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist, Prosthetics Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vicksburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.