Organization Active NPI

Geriatric Services, Inc.

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Jackson, MS
National Provider Identifier
1356375687
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
License
05810/11.1 Issued in MS
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

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
Mrs. Rebecca H. Shelton
Title
VP
Phone
(601) 956-8276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00440225MedicaidMS

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.