Medicomp Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MEDICOMP INC.

Doing business as

Medicomp Physical Therapy Collins

Practice address

710 Main Street
Suite 10
Collins, MS 39428-6293

Phone

(601) 824-8914

Fax

(601) 824-8828

NPI assigned

Sep 27, 2016

Last updated

Oct 19, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrew Duggar

Title

Executive Director

Phone

(601) 824-8914

Specialties & licenses 1

Addresses

Other names 1

• Medicomp Physical Therapy Collins Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Gail Martin, RPT

  • Physical Therapist
  • Forest, MS
  • NPI 1629149406
  NPD (past)
• Daniel Stewart

  • Athletic Trainer
  • Forest, MS
  • NPI 1407188113
  NPD (past)

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1811446248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 HIGHPOINTE DRIVE",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390423169",
            "telephone_number": "601-824-8914",
            "fax_number": "601-824-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 MAIN STREET",
            "address_2": "SUITE 10",
            "city": "COLLINS",
            "state": "MS",
            "postal_code": "394286293",
            "telephone_number": "601-824-8914",
            "fax_number": "601-824-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICOMP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-27",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "DUGGAR",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "601-824-8914"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicomp Physical Therapy Collins",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Lott, PMHNP
• Tilba Lott, CMHT
• Weaton M McDaniel, MP-C
• Andrea Maria McGill
• April McNair
• Jennifer Minton-Collins
• Mississippi State Department of Health
• Joseph Jason Mooney, PT
• Alyssa Mozingo, LCSW
• Ms State Veterans Home Collins

• Clinic/Center in Collins, MS
• Providers in Collins, MS by specialty
• Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.