Organization Active NPI

Fitting Concepts Inc

  • Prosthetic/Orthotic Supplier
  • Tupelo, MS
National Provider Identifier
1144244633
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
041163411 Issued in MS
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

Updated by the provider on Oct 5, 2022

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

Authorized official

Name
Mrs. Amanda Lashea WhiteNPI 1407571771
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00040301MedicaidMS
00040301OtherMSPTAN 0448990001

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fittingconcepts@att.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930051841 MS DME Supplier - Medical Supply Company 8426176736 Practice locations: Tupelo, MS

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Fitting Concepts130 S Industrial Rd, Tupelo, MS 38801-4618(662) 841-2476 Breast Prostheses and/or Accessories|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.