Simpson County Medical Supply, LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

07135/11.1 Issued in MS

Legal business name

SIMPSON COUNTY MEDICAL SUPPLY, LLC

Practice address

200 2ND Ave SE
Magee, MS 39111-3605

Phone

(601) 849-9182

Fax

(601) 849-5781

NPI assigned

Oct 23, 2006

Last updated

Mar 5, 2015By 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

Mrs. Sara Kennedy

Title

Member/Manager

Phone

(601) 849-9182

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1891878195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 2ND AVE SE",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391113605",
            "telephone_number": "601-849-9182",
            "fax_number": "601-849-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 2ND AVE SE",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391113605",
            "telephone_number": "601-849-9182",
            "fax_number": "601-849-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPSON COUNTY MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "601-849-9182",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MS",
            "license": "07135/11.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05080373",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Scully
• Senior Living Services, Inc. (Lakeview Place)
• Terah Shelby, DMD
• Shining Starz ABA
• Naomi Shows, AGNP, FNP
• Russell H Slover, DMD
• Phyllis Marie Smith, LCSW
• South Central Regional Medical Center (Magee General Hospital)
• South Central Regional Medical Center (Magee General Hospital)
• South Central Regional Medical Center (Magee General ERPs)

• Oxygen Equipment & Supplies (DME) in Magee, MS
• Providers in Magee, 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 Mar 5, 2015; 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.