NPIMap

Organization Active NPI

Diabetes Management Centers of Mississippi, LLC

  • Durable Medical Equipment & Medical Supplies
  • Flowood, MS
National Provider Identifier
1679863138
Registry record updated Apr 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DIABETES MANAGEMENT CENTERS OF MISSISSIPPI, LLC
Practice address
3500 Lakeland Dr
Suite 515
Flowood, MS 39232-3017
Phone
(601) 500-5367
Fax
(601) 500-5370
NPI assigned
Apr 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2011

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

Authorized official

Name
Chip Slack
Title
President
Phone
(601) 500-5367

Specialties & licenses 1

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

Addresses

Primary practice location

3500 Lakeland Dr
Suite 515
Flowood, MS 39232-3017

Mailing address

3500 Lakeland Dr
Suite 515
Flowood, MS 39232-3017
Phone (601) 500-5367

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303084800000",
    "number": "1679863138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 LAKELAND DR",
            "address_2": "SUITE 515",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392323017",
            "telephone_number": "601-500-5367",
            "fax_number": "601-500-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 LAKELAND DR",
            "address_2": "SUITE 515",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392323017",
            "telephone_number": "601-500-5367",
            "fax_number": "601-500-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES MANAGEMENT CENTERS OF MISSISSIPPI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-18",
        "last_updated": "2011-04-18",
        "status": "A",
        "authorized_official_last_name": "SLACK",
        "authorized_official_first_name": "CHIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-500-5367"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; 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.