Jackson Brace and Limb Company

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

JACKSON BRACE AND LIMB COMPANY

Practice address

1320 N State St
Jackson, MS 39202-2003

Phone

(601) 353-2477

Fax

(601) 355-4100

NPI assigned

Nov 22, 2006

Last updated

Nov 7, 2025By 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

Micki Corley

Title

Office Manager

Phone

(601) 353-2477

Specialties & licenses 1

Addresses

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.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1992870950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022096",
            "telephone_number": "601-353-2477",
            "fax_number": "601-355-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022003",
            "telephone_number": "601-353-2477",
            "fax_number": "601-355-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON BRACE AND LIMB COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "CORLEY",
        "authorized_official_first_name": "MICKI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "601-353-2477"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Jackson, MS
• Providers in Jackson, MS by specialty
• Prosthetic/Orthotic Supplier in Mississippi

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