Organization Active NPI

Medsmart LLC

  • Durable Medical Equipment & Medical Supplies
  • Jackson, MS
National Provider Identifier
1477816197
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDSMART LLC
Practice address
5056 I 55 N
Jackson, MS 39211-4411
Phone
(601) 956-1330
Fax
(601) 956-1348
NPI assigned
Jun 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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

Authorized official

Name
James Matthew Jordan
Title
Partner-Manager
Phone
(601) 956-1330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

5056 I 55 N
Jackson, MS 39211-4411

Mailing address

5056 I 55 N
Jackson, MS 39211-4411
Phone (601) 956-1330

Other identifiers 1

IdentifierTypeStateIssuer
02053764MedicaidMS

National Provider Directory

National Provider Directory

Locations

5056 I 55 N
Jackson, MS 39211
Phone (601) 956-1330

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1477816197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5056 I 55 N",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392114411",
            "telephone_number": "601-956-1330",
            "fax_number": "601-956-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5056 I 55 N",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392114411",
            "telephone_number": "601-956-1330",
            "fax_number": "601-956-1348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSMART LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-18",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PARTNER-MANAGER",
        "authorized_official_telephone_number": "601-956-1330"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02053764",
            "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 Oct 4, 2013; 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.