Organization Active NPI

Priority Care Medical Supply, LLC

  • Durable Medical Equipment & Medical Supplies
  • Amory, MS
National Provider Identifier
1235533662
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
13643/11.1 Issued in MS
Legal business name
PRIORITY CARE MEDICAL SUPPLY, LLC
Practice address
203 3Rd Ave S Ste 2
Amory, MS 38821-4232
Phone
(662) 257-6740
Fax
(662) 257-2258
NPI assigned
Oct 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Kimberly P Carson
Title
Managing Member
Phone
(662) 257-6740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 13643/11.1 MS Primary

Addresses

Primary practice location

203 3Rd Ave S Ste 2
Amory, MS 38821-4232

Mailing address

203 3Rd Ave S Ste 2
Amory, MS 38821-4232
Phone (662) 257-6740

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150527001920 MS DME Supplier - Medical Supply Company 4183944499 Practice locations: Amory, MS

National Provider Directory

National Provider Directory

Locations

1600 Highland Dr
Ste B
Amory, MS 38821
Phone (662) 257-6740

203 3rd Ave S
Ste 2
Amory, MS 38821
Phone (662) 256-7303

NPI Registry JSON

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1235533662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 3RD AVE S STE 2",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388214232",
            "telephone_number": "662-257-6740",
            "fax_number": "662-257-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 3RD AVE S STE 2",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388214232",
            "telephone_number": "662-257-6740",
            "fax_number": "662-257-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY CARE MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-14",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "662-257-6740"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "13643/11.1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amory, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.