HARRIS MEDICAL SUPPLY GROUP, LLC (NPI# 1063536852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063536852 |
| Entity Type | Organization |
| Organization Name | HARRIS MEDICAL SUPPLY GROUP, LLC |
| Practice Address |
720 Avignon Dr Suite 3 Ridgeland MS 39157-5166 |
| Mailing Address |
Po Box 806 Ridgeland MS 39158-0806 |
| Practice Telephone | 6014272469 |
| Practice Fax Number | 8668603857 |
| Mailing Telephone | 6014272469 |
| Mailing Fax Number | 8668603857 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. TERRIS CATON HARRIS (CEO) |
| Authorized Official Telephone | 6014272469 |
| Authorized Official Credential | J.D., LL.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| X | 332BD1200X |
Durable Medical Equipment & Medical Supplies Specialization: Dialysis Equipment & Supplies |
Suppliers | ||
| X | 332BN1400X |
Durable Medical Equipment & Medical Supplies Specialization: Nursing Facility Supplies |
Suppliers | ||
| X | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers |
| Street Address |
720 AVIGNON DR SUITE 3 |
| City | RIDGELAND |
| State | MS |
| Zip Code | 39157-5166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013206606 | Carroll Paul Smith | Social Worker | 720 Avignon Dr, Suite 3, Ridgeland, MS 39157-5166 | 2011-04-04 |
| 1144533340 | Janie Parks Pillow | Counselor | 720 Avignon Dr, Ste 4, Ridgeland, MS 39157-5166 | 2010-07-16 |
| 1093908345 | The Harris Companies LLC | Durable Medical Equipment & Medical Supplies | 720 Avignon Dr, Suite 3, Ridgeland, MS 39157-5166 | 2007-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631023 | Mychell Thomas | Licensed Practical Nurse | 199 Charmant Place, Ridgeland, MS 39157 | 2020-08-28 |
| 1225680945 | Verthena Edwards | Home Health | 301 Pinehurst Cir, N/a, Ridgeland, MS 39157 | 2019-07-12 |
| 1730663469 | Essential Touchtones | Psychologist | 210 W. Jackson Street, Ridgeland, MS 39157 | 2018-09-19 |
| 1841786365 | Whitney Paige Crum | Speech-Language Pathologist | Laskin Therapy Group Pa, 207 W Jackson St, Ridgeland, MS 39157 | 2018-07-09 |
| 1811487002 | Camille Brockett | Social Worker | 270 Trace Colony Park Dr Ste B, Ridgeland, MS 39157 | 2018-05-14 |
| 1588171177 | Layson Counseling Group, Pllc | Counselor | 573 Hwy 51 Suite B, Ridgeland, MS 39157 | 2018-01-04 |
| 1407376452 | Mobility Rehab LLC | Clinic/Center | 745 S Pear Orchard Road, Apt 335, Ridgeland, MS 39157 | 2017-06-21 |
| 1184165102 | Sinus and Allergy Institute Pllc | Otolaryngology | 1115 Highland Colony Parkway, Suite C, Ridgeland, MS 39157 | 2017-03-09 |
| 1093263410 | Natural Health Project LLC | General Practice | 555 Highway 51, Ridgeland, MS 39157 | 2016-09-14 |
| 1851755714 | Jerlunda Lynn Dudley | Social Worker | 511 Clark Street, Rosedale, MS 39157 | 2016-04-07 |
| Find all providers in zip 39157 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750863866 | Rke Enterprises LLC | Durable Medical Equipment & Medical Supplies | 720 Avignon Dr Ste 1, Ridgeland, MS 39157-5166 | 2018-09-05 |
| 1033627948 | Grace Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 655 Lake Harbour Dr Ste 1100, Ridgeland, MS 39157-4360 | 2018-01-12 |
| 1861918740 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 8225 E Main St Ste F, Ridgeland, SC 29936-9513 | 2017-08-22 |
| 1760860811 | Advance Care Dme & Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 199 Charmant Pl Ste 2, Ridgeland, MS 39157-4358 | 2015-05-09 |
| 1396030177 | Compassion Healthcare, Inc | Durable Medical Equipment & Medical Supplies | 488 Browns Cove Rd, Suit 1 Bldg A, Ridgeland, SC 29936-8164 | 2011-06-09 |
| 1255566584 | Caring Hands Health Equipment & Supplies LLC | Durable Medical Equipment & Medical Supplies | 61 Riverwalk Blvd Ste C, Ridgeland, SC 29936-5071 | 2009-05-15 |
| 1316185648 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 174 Boardwalk Dr Ste D, Ridgeland, SC 29936-7996 | 2009-01-23 |
| 1437329059 | Global Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 6610 Old Canton Rd Ste C, Ridgeland, MS 39157-1302 | 2008-03-11 |
| 1053594713 | Caring Hands Health Equipment & Supplies, Inc. | Durable Medical Equipment & Medical Supplies | 107d East Main Street, Ridgeland, SC 29936 | 2007-12-17 |
| 1083807218 | Amber L. Clanton LLC Dba Healthwise | Durable Medical Equipment & Medical Supplies | 6955 Old Canton Rd Ste L, Ridgeland, MS 39157-1267 | 2007-08-21 |
| Find all providers in RIDGELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.