Organization Active NPI

Mississippi Artificial Limb and Brace LLC

  • Prosthetic/Orthotic Supplier
  • Hattiesburg, MS
National Provider Identifier
1972610897
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
42 Issued in AL
Legal business name
MISSISSIPPI ARTIFICIAL LIMB AND BRACE LLC
Practice address
6086 Hwy 49 South
Hattiesburg, MS 39401
Phone
(601) 579-7430
Fax
(601) 579-8656
NPI assigned
Aug 24, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ricky Partain, CPO
Title
Member
Phone
(256) 549-0064

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 41 AL
Prosthetic/Orthotic Supplier 335E00000X 42 AL Primary

Addresses

Primary practice location

6086 Hwy 49 South
Hattiesburg, MS 39401

Mailing address

305 S 4TH St
Gadsden, AL 35901-5212
Phone (256) 549-0064

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1972610897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 S 4TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015212",
            "telephone_number": "256-549-0064",
            "fax_number": "256-549-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6086 HWY 49 SOUTH",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39401",
            "telephone_number": "601-579-7430",
            "fax_number": "601-579-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI ARTIFICIAL LIMB AND BRACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PARTAIN",
        "authorized_official_first_name": "RICKY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "256-549-0064",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "AL",
            "license": "41",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "AL",
            "license": "42",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.