Active NPI
Fitting Concepts Inc
- Prosthetic/Orthotic Supplier
- Tupelo, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 041163411
- Legal business name
- FITTING CONCEPTS INC
- Practice address
- 130 S Industrial Rd
Tupelo, MS 38801-4614 - Phone
- (662) 841-2476
- Fax
- (662) 841-2476
- NPI assigned
- Jul 27, 2006
- 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
- Mrs. Amanda Lashea White
- Title
- President
- Phone
- (662) 841-2476
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | 041163411 | MS | Primary |
Addresses
Primary practice location
130 S Industrial Rd
Tupelo, MS 38801-4614
Mailing address
130 S Industrial Rd
Tupelo, MS 38801-4618
Phone (662) 841-2476
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00040301 | Medicaid | MS | |
| 00040301 | Other | MS | PTAN 0448990001 |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | fittingconcepts@att.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930051841 | MS | DME Supplier - Medical Supply Company | 8426176736 | Practice locations: Tupelo, MS |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Fitting Concepts | Breast Prostheses and/or Accessories|Lymphedema Compression Treatment Items | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
130 S Industrial Rd
Tupelo, MS 38801
Phone (662) 841-2476
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mastectomy Fitter
- Tupelo, MS
- NPI 1407571771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664928000000",
"number": "1144244633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 S INDUSTRIAL RD",
"city": "TUPELO",
"state": "MS",
"postal_code": "388014618",
"telephone_number": "662-841-2476",
"fax_number": "662-841-2476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 S INDUSTRIAL RD",
"city": "TUPELO",
"state": "MS",
"postal_code": "388014614",
"telephone_number": "662-841-2476",
"fax_number": "662-841-2476"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FITTING CONCEPTS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-27",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "AMANDA",
"authorized_official_middle_name": "LASHEA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "662-841-2476",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "MS",
"license": "041163411",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00040301",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN 0448990001",
"identifier": "00040301",
"state": "MS"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "fittingconcepts@att.net",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "130 S Industrial Rd",
"city": "Tupelo",
"state": "MS",
"country_code": "US",
"postal_code": "388014614",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.