TOTAL MEDICAL SUPPLY, LLC (NPI# 1306906375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306906375 |
| Entity Type | Organization |
| Organization Name | TOTAL MEDICAL SUPPLY, LLC |
| Practice Address |
558 1st South St Woodville MS 39669-3777 |
| Mailing Address |
12617 Warwick Ave Baton Rouge LA 70815-6847 |
| Practice Telephone | 6018883373 |
| Practice Fax Number | 6018884767 |
| Mailing Telephone | 2252756415 |
| Mailing Fax Number | 2252756415 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GARY RUSSELL JOHNSON (OWNER) |
| Authorized Official Telephone | 6018883373 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
06136 11.1 | MS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 04700561 | 05 |
| Street Address |
558 1ST SOUTH ST |
| City | WOODVILLE |
| State | MS |
| Zip Code | 39669-3777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255429924 | Lori K Taylor | Specialist | 558 1st South St, Woodville, MS 39669-3777 | 2006-10-10 |
| 1659650802 | Virginia Lewis | Physical Therapist | 558 1st South St, Woodville, MS 39669-3777 | 2011-08-05 |
| 1053523209 | Premier Physical Therapy, LLC | Physical Therapist | 558 1st South St, Woodville, MS 39669-3777 | 2007-05-03 |
| 1285794107 | Gary Russell Johnson | Physical Therapist | 558 1st South St, Woodville, MS 39669-3777 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134607393 | Granger LLC | Non-emergency Medical Transport (VAN) | 16 Flower Ln, Woodville, MS 39669 | 2018-07-31 |
| 1427576743 | Roslyn Jill Smith | Pharmacist | 211 Hwy 61 South, Woodville, MS 39669 | 2017-09-07 |
| 1386176055 | Lashonda Tolliver | Counselor | 64 Tolliver Ln, Woodville, MS 39669 | 2017-03-31 |
| 1548660954 | Alicia Freeman Randall | Social Worker | 2045 Hwy 24 East, Woodville, MS 39669 | 2014-09-04 |
| 1659796340 | Caring 4 You Adult Daycare Center, LLC | Respite Care | 1580 Highway 24 West, Woodville, MS 39669 | 2014-03-04 |
| 1720211386 | Family Health Care Clinic, Inc. | Clinic/Center | 1823 Highway 24 West, Woodville, MS 39669 | 2009-08-31 |
| 1336381946 | Family Health Care Clinic, Inc. | Clinic/Center | 1495 Us Highway 61 S, Woodville, MS 39669 | 2009-03-27 |
| 1306052238 | Don Harvey Cummings | Pharmacist | 179 Boston Row, Woodville, MS 39669 | 2007-05-15 |
| 1053415190 | Mckenzie Healthcare Solutions | Durable Medical Equipment & Medical Supplies | 751 Main Street, Woodville, MS 39669 | 2006-09-11 |
| 1750313797 | Freds Stores of Tennessee Inc | Pharmacy | 211 U.S. Hwy 61 South, Woodville, MS 39669 | 2006-07-07 |
| Find all providers in zip 39669 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356401491 | Premier Pharmaceutical Services, LLC | Durable Medical Equipment & Medical Supplies | 1348 Us Highway 61 S, Woodville, MS 39669-4560 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
| 1790324614 | Aerocare Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 2210 Mill Street Ext Ste E, Lucedale, MS 39452-6079 | 2019-12-23 |
| 1487291977 | Aerocare Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 2210 Mill Street Ext Ste F, Lucedale, MS 39452-6079 | 2019-12-04 |
| 1699311654 | Aerocare Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 6555 U S Highway 98 Ste 5b, Hattiesburg, MS 39402-7625 | 2019-11-25 |
| 1407402381 | Elite Medical Care, LLC | Durable Medical Equipment & Medical Supplies | 103 Woodland Rd Ste 3, Batesville, MS 38606-8483 | 2019-08-15 |
| 1396305892 | Regional Health Services LLC | Durable Medical Equipment & Medical Supplies | 920 E Mcdowell Rd, Jackson, MS 39204-5911 | 2019-06-17 |
| 1396219325 | Tri-state Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 6392 Highway 51 N, Pope, MS 38658-2421 | 2019-01-12 |
| 1801256508 | Down Home Medical Supply | Durable Medical Equipment & Medical Supplies | 2691 Highway 15, Bay Springs, MS 39422-7431 | 2016-02-24 |
| 1003214198 | Cook Wholesale Co Inc | Durable Medical Equipment & Medical Supplies | 404 Highway 16 E, Carthage, MS 39051-4208 | 2014-12-05 |
| 1659719557 | Lexington Medical Supply | Durable Medical Equipment & Medical Supplies | 22743 Highway 12, Lexington, MS 39095-3118 | 2013-06-13 |
| Find all providers with the same taxonomy | ||||
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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.