Med360 LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

MED360 LLC

Doing business as

Med360

Practice address

407 Sumrall Rd
Columbia, MS 39429-9550

Phone

(601) 345-5424

Fax

(601) 519-0772

NPI assigned

Aug 30, 2022

Last updated

Mar 12, 2026By 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

Michael Don Schepemaker, FNP, PMHNPNPI 1952993743

Title

Owner

Phone

(601) 345-5424

Specialties & licenses 1

Addresses

Other names 2

• MED360 Doing business as
• Med360 Family Clinic Other name

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.

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Michael Schepemaker, FNP

  • Family Nurse Practitioner
  • Columbia, MS
  • NPI 1952993743
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1831819820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 SUMRALL RD",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394299550",
            "telephone_number": "601-345-5424",
            "fax_number": "601-519-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 SUMRALL RD",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394299550",
            "telephone_number": "601-345-5424",
            "fax_number": "601-519-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED360 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "SCHEPEMAKER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-345-5424",
        "authorized_official_credential": "FNP, PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MED360",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MED360",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Med360 Family Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joshua McDade, CAT
• Jessica Amanda McKenzie, FNP
• Lala McKenzie, IDD WAIVER SERVICES
• Shelley McKenzie, LMSW
• Susan Lorenda McLendon, LPN
• Larry Ethan Milton, DPM
• Janet Mingo
• Mississippi Pharmaceutical Services, LLC (Columbia Medical Supply)
• Mississippi State Department of Health
• Jennifer Moak

• Medical Specialty Clinic/Center in Columbia, MS
• Providers in Columbia, MS by specialty
• Medical Specialty Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.