Mississippi Medical, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

025331018 Issued in MS

Legal business name

MISSISSIPPI MEDICAL, INC

Practice address

5836 N Commerce PLZ
Jackson, MS 39206-2936

Phone

(601) 952-0124

Fax

(601) 978-1736

NPI assigned

Jun 17, 2005

Last updated

Sep 16, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Farris Jamison

Title

President

Phone

(601) 952-0124

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1235134065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13892",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392363892",
            "telephone_number": "601-952-0124",
            "fax_number": "601-978-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5836 N COMMERCE PLZ",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392062936",
            "telephone_number": "601-952-0124",
            "fax_number": "601-978-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "JAMISON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "FARRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-952-0124",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "025331018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00440566",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mississippi Homecare of Jackson II, LLC (Mississippi HomeCare / Jackson)
• Mississippi Homecare of Jackson, LLC (Mississippi HomeCare / Jackson)
• Mississippi Hospital for Restorative Care, Inc. (Restorative Care Hospital at Baptist)
• Mississippi Infusion Services LLC
• Mississippi Maternal-Fetal Medicine, P.a.
• Mississippi Methodist Hospital & Rehabilitation Center, Inc. (Methodist Rehab Center)
• Mississippi Methodist Hospital & Rehabilitation Center, Inc. (Methodist Rehab Center)
• Mississippi Methodist Hospital & Rehabilitation Center, Inc. (Methodist Rehab Center)
• Mississippi Neurological Institute LLC
• Mississippi Oncology Associates

• 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 Sep 16, 2009; 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.