Twin States Infusion Clinics, LLC

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

TWIN STATES INFUSION CLINICS, LLC

Practice address

123A Alcorn Dr
Corinth, MS 38834-9359

Phone

(662) 260-3366

Fax

(662) 269-1568

NPI assigned

Oct 25, 2022

Last updated

Nov 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Logan E DavisNPI 1235393679

Title

Owner

Phone

(601) 482-7420

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Twin States Infusion Clinics, LLC

  dba North Mississippi Infusion Clinics Oxford

  • Infusion Therapy Clinic/Center
  • Oxford, MS
  • NPI 1114500477

  O20210707001832

  Same enrollment

Tax ID family

North Mississippi Infusion Clinics Oxford2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Twin States Infusion Clinics, LLC

  dba North Mississippi Infusion Clinics Oxford

  • Infusion Therapy Clinic/Center
  • Oxford, MS
  • NPI 1114500477
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Druid City Infusion

  dba Druid City Vital Care

  • Home Infusion Therapy Pharmacy
  • Northport, AL
  • NPI 1306277397

  Member Of

  NPD member

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Logan E Davis, PHARMD

  • Pharmacist
  • Meridian, MS
  • NPI 1235393679
  Authorized official Same address or phone
• Megan Blair Edwards, D.O.

  • Neurology Physician
  • Oxford, MS
  • NPI 1336550425
  NPD
• Andrew Linn Kerby, M.D.

  • Neurology Physician
  • Corinth, MS
  • NPI 1104844505
  NPD

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1437876000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123A ALCORN DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349359",
            "telephone_number": "601-260-3366",
            "fax_number": "662-269-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123A ALCORN DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349359",
            "telephone_number": "662-260-3366",
            "fax_number": "662-269-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN STATES INFUSION CLINICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LOGAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-482-7420"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holley Trimble
• Trivista
• Christopher E Tucker, MD
• Kate Tucker, M.S., CCC-SLP
• Patrick Edwin Tucker, M.D.
• Jeffrey Allen Tyre II, MD
• Natalee Marie Tyre, MD
• Urgent Care Pharmacy, Inc.
• Urology Clinic PA
• Windy Vess, FNP-C

• Infusion Therapy Clinic/Center in Corinth, MS
• Providers in Corinth, MS by specialty
• Infusion Therapy Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.