NPIMap

Organization Active NPI

Singleton and Myrick Incorporated

Doing business as Buckner Prosthetic & Orthotic Laboratories Inc.

  • Prosthetic/Orthotic Supplier
  • Jackson, MS
National Provider Identifier
1861830937
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
SINGLETON AND MYRICK INCORPORATED
Doing business as
Buckner Prosthetic & Orthotic Laboratories Inc.
Practice address
2089 Lakeland Dr
Jackson, MS 39216-5010
Phone
(601) 944-1130
Fax
(601) 355-7476
NPI assigned
Jun 11, 2013
Last updated
Nov 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Authorized official

Name
Mr. Stephen James Singleton, CPNPI 1871887653
Title
Prosthetist
Phone
(601) 201-5521

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

2089 Lakeland Dr
Jackson, MS 39216-5010

Mailing address

2089 Lakeland Dr
Jackson, MS 39216-5010
Phone (601) 944-1130

Other names 1

  • Buckner Prosthetic & Orthotic Laboratories Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130923000477 MS DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 0840434361 Practice locations: Jackson, MS

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Singleton and Myrick Incorporated2089 Lakeland Dr, Jackson, MS 39216-5010(601) 944-1130 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Accepts assignmentParticipating since Jul 11, 2013

National Provider Directory

National Provider Directory
Tax ID family
Singleton and Myrick Incorporated6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

20 Parkway Blvd
Hattiesburg, MS 39401
Phone (601) 255-5264

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1861830937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2089 LAKELAND DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165010",
            "telephone_number": "601-944-1130",
            "fax_number": "601-355-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2089 LAKELAND DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165010",
            "telephone_number": "601-944-1130",
            "fax_number": "601-355-7476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINGLETON AND MYRICK INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-11",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "SINGLETON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PROSTHETIST",
        "authorized_official_telephone_number": "601-201-5521",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buckner Prosthetic & Orthotic Laboratories Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Buckner Prosthetic & Orthotic Laboratories Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 17, 2021; 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.