Organization Active NPI

Prime Med Serves

  • Durable Medical Equipment & Medical Supplies
  • Poplarville, MS
National Provider Identifier
1174459010
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PRIME MED SERVES
Practice address
14 Roy Burge Rd
Poplarville, MS 39470-3401
Phone
(601) 663-0287
NPI assigned
Jun 19, 2026
Last updated
Jun 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Authorized official

Name
Billy Smith
Title
Manajer
Phone
(601) 663-0287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

14 Roy Burge Rd
Poplarville, MS 39470-3401

Mailing address

14 Roy Burge Rd
Poplarville, MS 39470-3401

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1781827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781827200000",
    "number": "1174459010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 ROY BURGE RD",
            "city": "POPLARVILLE",
            "state": "MS",
            "postal_code": "394703401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 ROY BURGE RD",
            "city": "POPLARVILLE",
            "state": "MS",
            "postal_code": "394703401",
            "telephone_number": "601-663-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME MED SERVES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-19",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BILLY",
        "authorized_official_title_or_position": "MANAJER",
        "authorized_official_telephone_number": "601-663-0287"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poplarville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.

Verify at the official NPI Registry.