Mississippi Med Supply LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

MISSISSIPPI MED SUPPLY LLC

Practice address

301B Highway 72 E
Corinth, MS 38834-6023

Phone

(662) 808-0856

NPI assigned

Jan 19, 2022

Organization subpart

No

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

Authorized official

Name

Gary Keith BarnettNPI 1225290844

Title

President

Phone

(662) 808-0856

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary Keith Barnett, CRNA

  • Certified Registered Nurse Anesthetist
  • Corinth, MS
  • NPI 1225290844
  NPD Authorized official
• Amanda Barnett, FNP-BC

  • Family Nurse Practitioner
  • Corinth, MS
  • NPI 1447969159
  NPD

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1821740051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1139",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388351139",
            "telephone_number": "662-808-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301B HIGHWAY 72 E",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388346023",
            "telephone_number": "662-808-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI MED SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-808-0856"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midsouth Spine and Pain Associates PLLC
• Midsouth Spine and Pain Associates PLLC
• Marlie Miles, LMSW
• Peggy Belinda Miller
• Virginia Miller, CNP
• Mississippi Pain Institute Corinth PLLC
• Mississippi Physicians LLP
• Mississippi State Department of Health
• James M Mitchell, DO
• Marsha Mitchell, FNP-C

• Oxygen Equipment & Supplies (DME) in Corinth, MS
• Providers in Corinth, MS by specialty
• Oxygen Equipment & Supplies (DME) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.