NPIMap

Organization Active NPI

Advanced Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Meridian, MS
National Provider Identifier
1295026763
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ADVANCED MEDICAL SUPPLY LLC
Practice address
1010 19TH Ave
Meridian, MS 39301-5227
Phone
(601) 479-4963
Fax
(601) 453-5176
NPI assigned
May 2, 2011
Last updated
May 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2011

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

Authorized official

Name
Mrs. Cheryl Kathleen Sudduth
Title
President
Phone
(601) 479-4963

Specialties & licenses 1

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

Addresses

Primary practice location

1010 19TH Ave
Meridian, MS 39301-5227

Mailing address

1010 19TH Ave
Meridian, MS 39301-5227
Phone (601) 479-4963

National Provider Directory

National Provider Directory

Locations

1010 19th Ave
Meridian, MS 39301
Phone (601) 479-4963

NPI Registry JSON

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1295026763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 19TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393015227",
            "telephone_number": "601-479-4963",
            "fax_number": "601-453-5176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 19TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393015227",
            "telephone_number": "601-479-4963",
            "fax_number": "601-453-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "SUDDUTH",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-479-4963",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.