Organization Active NPI

Midsouth Medical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Shreveport, LA
National Provider Identifier
1891594438
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MIDSOUTH MEDICAL, INC.
Practice address
9011 Linwood Ave
Shreveport, LA 71106-6564
Phone
(318) 687-1444
NPI assigned
Mar 7, 2025
Organization subpart
Yes
Parent organization
MIDSOUTH MEDICAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Becky Jones
Title
Ceo
Phone
(318) 855-0411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

9011 Linwood Ave
Shreveport, LA 71106-6564

Mailing address

PO Box 4927
Monroe, LA 71211-4927
Phone (318) 855-0411

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251107003033 LA DME Supplier - Medical Supply Company With Respiratory Therapist 0648482984 Practice locations: Shreveport, LA

Other NPIs with the same Medicare PAC ID 2

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
Midsouth Medical, Inc.9011 Linwood Ave, Shreveport, LA 71106-6564(318) 687-1444 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Hospital Beds (Electric)|Hospital Beds (Manual)|Neuromuscular Elect Stimulators (NMES)/Supplies|Osteogenesis Stimulators|Support Surfaces:… Does not accept assignmentParticipating since Jun 28, 2001

National Provider Directory

National Provider Directory
Tax ID family
Midsouth Medical Inc3 organizations share this tax ID, including this one
Part of
Midsouth Medical Inc

Other organizations with this tax ID 2

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

Locations

254 Highway 132
Mangham, LA 71259
Phone (318) 248-3411

3209 Breard St
Monroe, LA 71201
Phone (318) 855-0411

115 Christian Dr
Rayville, LA 71269
Phone (318) 728-4400

9011 Linwood Ave
Shreveport, LA 71106
Phone (318) 687-1444

107 Bridge St
West Monroe, LA 71291
Phone (318) 855-0411

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1891594438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4927",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712114927",
            "telephone_number": "318-855-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9011 LINWOOD AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711066564",
            "telephone_number": "318-687-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDSOUTH MEDICAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDSOUTH MEDICAL, INC.",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-855-0411"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.