JACKSON DIABETIC SUPPLY (NPI# 1801159157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801159157 |
| Entity Type | Organization |
| Organization Name | JACKSON DIABETIC SUPPLY |
| Practice Address |
569 Highway 6 W Batesville MS 38606-9519 |
| Practice Telephone | 6625631641 |
| Practice Fax Number | 6625637304 |
| Mailing Telephone | 6625631641 |
| Mailing Fax Number | 6625637304 |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2012-06-21 |
| Authorized Official Name | TAMEKIA JACKSON (ADMINISTRATOR) |
| Authorized Official Telephone | 6625631641 |
| 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 |
F11388 | MS | Suppliers |
| Street Address |
569 HIGHWAY 6 W |
| City | BATESVILLE |
| State | MS |
| Zip Code | 38606-9519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245895796 | Vynshay Nance | Counselor | 156 and 158 Highway 51 North, Batesville, MS 38606 | 2019-05-09 |
| 1134784853 | Takisha Marsha Harris | Counselor | 516 Hwy 51 North, Batesville, MS 38606 | 2019-05-08 |
| 1275002974 | Darryl Dewayne Faulkkner | Counselor | 156 & 158 Highway 51 North, Batesville, MS 38606 | 2018-11-26 |
| 1104300854 | Willow Pain and Wellness, LLC | Clinic/Center | 255 Medical Center Dr., Batesville, MS 38606 | 2018-09-19 |
| 1265925432 | Dawander L Smith | Counselor | 156 & 158 Higway 51, Batesville, MS 38606 | 2018-06-12 |
| 1386154458 | Lukeither Denise Morgan | Social Worker | 156 & 158 Hwy 51 North, Batesville, MS 38606 | 2017-10-03 |
| 1841724820 | Batesville Regional Medical Center, Inc. | Clinic/Center | 255 Medical Center Drive Suite B, Batesville, MS 38606 | 2017-04-17 |
| 1013469816 | Alliance Health Partners LLC | Obstetrics & Gynecology | 255 Medical Center Dr, Suite B, Batesville, MS 38606 | 2016-10-27 |
| 1114310877 | Elizabeth White | Nurse Practitioner | 171-a Lakewood Drive, Batesville, MS 38606 | 2015-03-05 |
| 1689979528 | L Cooper Lewis | Physical Therapist | 640 Keating Road, Fairfield, Batesville, MS 38606 | 2011-01-25 |
| Find all providers in zip 38606 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407402381 | Elite Medical Care, LLC | Durable Medical Equipment & Medical Supplies | 103 Woodland Rd Ste 3, Batesville, MS 38606-8483 | 2019-08-15 |
| 1912997479 | A & E Inc | Durable Medical Equipment & Medical Supplies | 443 Highway 6 E, Batesville, MS 38606-3001 | 2005-10-26 |
| 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 |
| 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 |
| 1790059806 | Community Medical Supply | Durable Medical Equipment & Medical Supplies | 410 S Gloster St, Suite B, Tupelo, MS 38801-5526 | 2012-03-07 |
| Find all providers with the same taxonomy | ||||
| City | BATESVILLE |
| Zip Code | 38606 |
Please comment or provide details below to improve the information on JACKSON DIABETIC SUPPLY.
| 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.