Organization Active NPI

Adams Prosthetics & Orthotics, LLC

  • Customized Equipment (DME)
  • Jackson, MS
National Provider Identifier
1730523259
Registry record updated Nov 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
ADAMS PROSTHETICS & ORTHOTICS, LLC
Practice address
5935 Highway 18 W Ste a
Jackson, MS 39209-9626
Phone
(601) 665-4000
Fax
(601) 665-4634
NPI assigned
Apr 26, 2013
Last updated
Nov 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2017

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

Authorized official

Name
Mrs. Charleen D. Mitchell
Title
Owner
Phone
(601) 564-3623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

5935 Highway 18 W Ste a
Jackson, MS 39209-9626

Mailing address

5935 Hwy W 18
Suite a
Jackson, MS 39209

National Provider Directory

National Provider Directory

Locations

5935 Highway 18 W
Ste A
Jackson, MS 39209
Phone (601) 665-4000

NPI Registry JSON

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509494400000",
    "number": "1730523259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5935 HWY W 18",
            "address_2": "SUITE A",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5935 HIGHWAY 18 W STE A",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392099626",
            "telephone_number": "601-665-4000",
            "fax_number": "601-665-4634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAMS PROSTHETICS & ORTHOTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-26",
        "last_updated": "2017-11-01",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "CHARLEEN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-564-3623",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 1, 2017; 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.