Organization Active NPI

Med South, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Florence, AL
National Provider Identifier
1669727236
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MED SOUTH, INC.
Practice address
1120 Bradshaw Dr
Florence, AL 35630-1438
Phone
(256) 766-7015
Fax
(256) 766-7016
NPI assigned
Jul 19, 2012
Organization subpart
Yes
Parent organization
COMMUNITY HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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

Authorized official

Name
Mr. Eric J Shiflet
Title
Coo/President
Phone
(205) 221-8200

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Durable Medical Equipment & Medical Supplies 332B00000X AL Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X

Addresses

Primary practice location

1120 Bradshaw Dr
Florence, AL 35630-1438

Mailing address

406 Medical Center Dr
Jasper, AL 35501-3400
Phone (205) 221-8200

National Provider Directory

National Provider Directory

Member of 1

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

Locations

1023 Douglas Ave
Ste 322
Brewton, AL 36426
Phone (251) 867-0598

1110 Boll Weevil Cir
Ste G
Enterprise, AL 36330
Phone (334) 308-1355

205 E Lee St
Enterprise, AL 36330
Phone (334) 308-1355

1420 N McKenzie St
Foley, AL 36535
Phone (251) 943-9119

1706 Glenn Blvd SW
Fort Payne, AL 35968
Phone (256) 845-3309

2227 Drake Ave SW
Ste 14
Huntsville, AL 35805
Phone (256) 883-0505

4505 Highway 78 E
Ste 100
Jasper, AL 35501
Phone (205) 384-3626

206A Oak Mountain Cir
Pelham, AL 35124
Phone (205) 982-5058

113 Southland Vlg
Troy, AL 36079
Phone (334) 566-3202

NPI Registry JSON

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1669727236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 MEDICAL CENTER DR",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355013400",
            "telephone_number": "205-221-8200",
            "fax_number": "205-221-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 BRADSHAW DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301438",
            "telephone_number": "256-766-7015",
            "fax_number": "256-766-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED SOUTH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY HEALTH SERVICES",
        "enumeration_date": "2012-07-19",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "SHIFLET",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COO/PRESIDENT",
        "authorized_official_telephone_number": "205-221-8200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.