Organization Active NPI

Mississippi Organ Recovery Agency

  • Organ Procurement Organization
  • Flowood, MS
National Provider Identifier
1366978520
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Organ Procurement OrganizationTaxonomy code 335U00000X
License
646008520 Issued in MS
Legal business name
MISSISSIPPI ORGAN RECOVERY AGENCY
Practice address
4400 Lakeland Dr
Flowood, MS 39232-9522
Phone
(601) 936-8602
Fax
(601) 933-1008
NPI assigned
May 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Authorized official

Name
Marlon Kevin Stump
Title
President/Ceo
Phone
(601) 933-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Organ Procurement Organization 335U00000X 646008520 MS Primary

Addresses

Primary practice location

4400 Lakeland Dr
Flowood, MS 39232-9522

Mailing address

4400 Lakeland Dr
Flowood, MS 39232-9522
Phone (601) 933-1000

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2235631Mississippi Organ Recovery Agency4400 Lakeland Dr, Flowood, MS 39232ComplianceJun 27, 2028

National Provider Directory

National Provider Directory

Locations

4400 Lakeland Dr
Flowood, MS 39232
Phone (601) 936-8602

NPI Registry JSON

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781222400000",
    "number": "1366978520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 LAKELAND DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329522",
            "telephone_number": "601-933-1000",
            "fax_number": "601-933-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 LAKELAND DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329522",
            "telephone_number": "601-936-8602",
            "fax_number": "601-933-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI ORGAN RECOVERY AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-10",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A",
        "authorized_official_last_name": "STUMP",
        "authorized_official_first_name": "MARLON",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "601-933-1000"
    },
    "taxonomies": [
        {
            "code": "335U00000X",
            "taxonomy_group": "",
            "desc": "Organ Procurement Organization",
            "state": "MS",
            "license": "646008520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.