Midsouth Medical Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

35109770D Issued in LA

Legal business name

MIDSOUTH MEDICAL INC

Practice address

3209 Breard St
Monroe, LA 71201-3911

Phone

(318) 855-0411

Fax

(855) 420-5858

NPI assigned

Mar 31, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Rebecca Jones

Title

Owner

Phone

(318) 855-0411

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Delta Drug Co, Inc. Former legal business name

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Midsouth Medical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Alexandria, LA
  • NPI 1538890009

  0648482984

  Same PAC ID
• Midsouth Medical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Shreveport, LA
  • NPI 1891594438

  0648482984

  Same PAC ID

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

Tax ID family

Midsouth Medical Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Midsouth Medical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Alexandria, LA
  • NPI 1538890009
  NPD tax ID
• Midsouth Medical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Shreveport, LA
  • NPI 1891594438
  NPD tax ID

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Midsouth Medical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Alexandria, LA
  • NPI 1538890009
  NPPES parent name
• Midsouth Medical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Shreveport, LA
  • NPI 1891594438
  NPPES parent name

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1184685653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4927",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712114927",
            "telephone_number": "318-855-0411",
            "fax_number": "855-420-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 BREARD ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013911",
            "telephone_number": "318-855-0411",
            "fax_number": "855-420-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDSOUTH MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-855-0411",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "35109770D",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1468452",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF LA",
            "identifier": "G2094",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delta Drug Co, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Delta Drug Co, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Owen Meredith Meyers, MD
• Michael Edward Boykin, M.D., a Medical Corporation
• Michael Hayward M.D. a Medical Corporation
• Timothy J Mickel, M.D., F.A.C.S.
• Mallory Middleton, NP
• Catherine L Midyett, FNP
• Ashley Miers, COTA
• Amethyst Miles
• Ashley Miles
• Herman Miles

• Durable Medical Equipment & Medical Supplies in Monroe, LA
• Providers in Monroe, LA by specialty
• Durable Medical Equipment & Medical Supplies in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.