Organization Active NPI

MMS Winston-Salem, Inc.

Doing business as Majors Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Clemmons, NC
National Provider Identifier
1295707800
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
190 Issued in NC
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2402984MedicaidOH
0227256000MedicaidWV
7701784MedicaidNC

Other names 1

  • Majors Medical Supply Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.