South Mississippi Health Care

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

SOUTH MISSISSIPPI HEALTH CARE

Practice address

2401 Hardy St
Suite 20
Hattiesburg, MS 39401-5912

Phone

(601) 544-5922

Fax

(601) 544-5923

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. James David Cook, M.B.A.

Title

President

Phone

(601) 544-5922

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Southern Medical Supply Doing business as

Locations

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326112822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 HARDY ST",
            "address_2": "SUITE 20",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394015912",
            "telephone_number": "601-544-5922",
            "fax_number": "601-544-5923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 HARDY ST",
            "address_2": "SUITE 20",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394015912",
            "telephone_number": "601-544-5922",
            "fax_number": "601-544-5923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH MISSISSIPPI HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-544-5922",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.B.A."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09622040",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Soul Care Empowerment Institute, Inc.
• Soul Care Enterprises, Inc.
• South Mississippi Associate in Radiation Therapy, PLLC
• South Mississippi Dental Care PLLC
• South Mississippi Emergency Physicians PA
• South Mississippi Health Service, Inc
• South Mississippi Intraoperative Monitoring, LLC
• South Mississippi Neurosurgical Services, PLLC
• Southeast Mississippi Rural Health Initiative, Inc
• Southeast Mississippi Rural Health Initiative, Inc.

• Oxygen Equipment & Supplies (DME) in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Oxygen Equipment & Supplies (DME) in Mississippi

• 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.