Sunrise Prosthetics and Orthotics

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0527106 Issued in MS

Legal business name

SUNRISE PROSTHETICS AND ORTHOTICS

Practice address

1221 N West St
Jackson, MS 39202-2018

Phone

(601) 414-0032

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Charlie James Adams Jr.

Title

Owner

Phone

(601) 414-0032

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164583704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 N WEST ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022018",
            "telephone_number": "601-414-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 N WEST ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022018",
            "telephone_number": "601-414-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE PROSTHETICS AND ORTHOTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "CHARLIE",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-414-0032",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "0527106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03959826",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Nicole Sumrall
• Sunbelt Enterprises of Mississippi Inc
• Mecheri Sundaram, M.D.
• Sunny Days at Home Healthcare, LLC
• Sunny Seas Medical Supplies, LLC
• Super D Drugs Acquisition Co
• Super D Drugs Acquisition Co
• Superior Pro-Care Home Provider
• Supportive Connections Community Services
• Surgical Anesthesia Associates, PA

• Durable Medical Equipment & Medical Supplies in Jackson, MS
• Providers in Jackson, MS by specialty
• Durable Medical Equipment & Medical Supplies in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.