NPIMap

Organization Active NPI

Singleton and Myrick Incorporated

  • Prosthetic/Orthotic Supplier
  • Hattiesburg, MS
National Provider Identifier
1407200207
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
SINGLETON AND MYRICK INCORPORATED
Practice address
20 Parkway Blvd
Hattiesburg, MS 39401-8879
Phone
(601) 366-4687
Fax
(601) 336-6782
NPI assigned
Apr 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Authorized official

Name
Mr. Stephen James Singleton, CP
Title
Owner
Phone
(601) 944-1130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

20 Parkway Blvd
Hattiesburg, MS 39401-8879

Mailing address

2089 Lakeland Dr
Jackson, MS 39216-5010
Phone (601) 944-1130

Other names 1

  • Buckner Prosthetic and Orthotic Labs Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160811002674 MS DME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 0840434361 Practice locations: Hattiesburg, MS

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Buckner Prosthetics and Orthotics20 Parkway Blvd, Hattiesburg, MS 39401-8879(601) 944-1130 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Accepts assignmentParticipating since Jul 11, 2013

National Provider Directory

National Provider Directory
Tax ID family
Singleton and Myrick Incorporated6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1407200207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2089 LAKELAND DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165010",
            "telephone_number": "601-944-1130",
            "fax_number": "601-355-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PARKWAY BLVD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394018879",
            "telephone_number": "601-366-4687",
            "fax_number": "601-336-6782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINGLETON AND MYRICK INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-18",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "SINGLETON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-944-1130",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buckner Prosthetic and Orthotic Labs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Buckner Prosthetic and Orthotic Labs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.