Active NPI
Geriatric Services, Inc.
- Parenteral & Enteral Nutrition Supplies (DME)
- Jackson, MS
National Provider Identifier
1356375687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)
- License
- 05810/11.1
- Legal business name
- GERIATRIC SERVICES, INC.
- Practice address
- 13 Northtown Dr
Suite 220
Jackson, MS 39211-3047 - Phone
- (601) 956-8276
- Fax
- (601) 709-0832
- NPI assigned
- Jul 11, 2006
- 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
- Mrs. Rebecca H. Shelton
- Title
- VP
- Phone
- (601) 956-8276
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 05810/11.1 | MS | Primary |
Addresses
Primary practice location
13 Northtown Dr
Suite 220
Jackson, MS 39211-3047
Mailing address
13 Northtown Dr
Suite 220
Jackson, MS 39211-3047
Phone (601) 956-8276
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00440225 | Medicaid | MS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1356375687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 NORTHTOWN DR",
"address_2": "SUITE 220",
"city": "JACKSON",
"state": "MS",
"postal_code": "392113047",
"telephone_number": "601-956-8276",
"fax_number": "601-709-0832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 NORTHTOWN DR",
"address_2": "SUITE 220",
"city": "JACKSON",
"state": "MS",
"postal_code": "392113047",
"telephone_number": "601-956-8276",
"fax_number": "601-709-0832"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GERIATRIC SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SHELTON",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "601-956-8276",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "MS",
"license": "05810/11.1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00440225",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
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.