Organization Active NPI

Mid South Express Shuttle

  • Non-emergency Medical Transport (VAN)
  • Olive Branch, MS
National Provider Identifier
1669816302
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
1026-4841 Issued in MS
Legal business name
MID SOUTH EXPRESS SHUTTLE
Practice address
4185 Sidlehill Dr
Olive Branch, MS 38654-6141
Phone
(662) 420-0826
Fax
(662) 892-8402
NPI assigned
Apr 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Authorized official

Name
Mr. Andrew Shears Jr.
Title
Owner / Manager
Phone
(662) 420-8402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 1026-4841 MS Primary

Addresses

Primary practice location

4185 Sidlehill Dr
Olive Branch, MS 38654-6141

Mailing address

PO Box 1988
Olive Branch, MS 38654-2104
Phone (662) 420-0826

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1669816302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1988",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386542104",
            "telephone_number": "662-420-0826",
            "fax_number": "662-892-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4185 SIDLEHILL DR",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386546141",
            "telephone_number": "662-420-0826",
            "fax_number": "662-892-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID SOUTH EXPRESS SHUTTLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "SHEARS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER  / MANAGER",
        "authorized_official_telephone_number": "662-420-8402",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MS",
            "license": "1026-4841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olive Branch, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.