Active NPI
MMS Winston-Salem, Inc.
Doing business as Majors Medical Supply
- Durable Medical Equipment & Medical Supplies
- Clemmons, NC
National Provider Identifier
1295707800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 190
- Legal business name
- MMS WINSTON-SALEM, INC.
- Doing business as
- Majors Medical Supply
- Practice address
- 6311A Stadium Drive
Clemmons, NC 27012-8979 - Phone
- (336) 712-1040
- Fax
- (336) 712-0260
- NPI assigned
- Feb 7, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David E Simmons
- Title
- VP
- Phone
- (336) 712-1040
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 190 | NC | Primary |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0206009315 | VA |
Addresses
Primary practice location
6311A Stadium Drive
Clemmons, NC 27012-8979
Mailing address
6311A Stadium Drive
Clemmons, NC 27012-8979
Phone (336) 712-1040
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2402984 | Medicaid | OH | |
| 0227256000 | Medicaid | WV | |
| 7701784 | Medicaid | NC |
Other names 1
- Majors Medical Supply
National Provider Directory
National Provider DirectoryLocations
6311 Stadium Dr
Ste A
Clemmons, NC 27012
Phone (336) 712-1040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1295707800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6311A STADIUM DRIVE",
"city": "CLEMMONS",
"state": "NC",
"postal_code": "270128979",
"telephone_number": "336-712-1040",
"fax_number": "336-712-0260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6311A STADIUM DRIVE",
"city": "CLEMMONS",
"state": "NC",
"postal_code": "270128979",
"telephone_number": "336-712-1040",
"fax_number": "336-712-0260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MMS WINSTON-SALEM, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SIMMONS",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "336-712-1040",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NC",
"license": "190",
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "VA",
"license": "0206009315",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2402984",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0227256000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7701784",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Majors Medical Supply",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clemmons, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.