NPIMap

Organization Active NPI

Jones County Medical Supplies, Inc

Doing business as Gulf Coast Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Gulfport, MS
National Provider Identifier
1235803370
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JONES COUNTY MEDICAL SUPPLIES, INC
Doing business as
Gulf Coast Medical Supply
Practice address
9095 Highway 49
Gulfport, MS 39503-4319
Phone
(228) 241-2100
Fax
(228) 241-2101
NPI assigned
Aug 3, 2021
Last updated
May 20, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
JONES COUNTY MEDICAL SUPPLIES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Authorized official

Name
Clayton E. Johnson
Title
Owner/Ceo
Phone
(601) 426-2574

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Oxygen Equipment & Supplies (DME) 332BX2000X NU

Addresses

Primary practice location

9095 Highway 49
Gulfport, MS 39503-4319

Mailing address

PO Box 23
Laurel, MS 39441-0023
Phone (601) 426-2574

Other names 1

  • GULF COAST MEDICAL SUPPLY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220214000433 MS DME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Medical Supply Company With Respiratory Therapist 7911955927 Practice locations: Gulfport, MS

Other NPIs with the same Medicare PAC ID 7

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

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Jones County Medical Supplies, Inc9095 Highway 49, Gulfport, MS 39503-4319(228) 241-2100 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Contracture Treatment Devices: Dynamic Splint|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manua… Does not accept assignmentParticipating since Oct 1, 1979

National Provider Directory

National Provider Directory
Tax ID family
Jones County Med Suppli8 organizations share this tax ID, including this one
Part of
Jones County Med Suppli

Other organizations with this tax ID 7

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

Locations

9095 Highway 49
Gulfport, MS 39503
Phone (228) 241-2100

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1235803370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394410023",
            "telephone_number": "601-426-2574",
            "fax_number": "601-518-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9095 HIGHWAY 49",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034319",
            "telephone_number": "228-241-2100",
            "fax_number": "228-241-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONES COUNTY MEDICAL SUPPLIES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JONES COUNTY MEDICAL SUPPLIES, INC",
        "enumeration_date": "2021-08-03",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "601-426-2574"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GULF COAST MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.