DIRECT MEDICAL SUPPLY, LLC (NPI# 1831276237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831276237 |
| Entity Type | Organization |
| Organization Name | DIRECT MEDICAL SUPPLY, LLC |
| Practice Address |
105 Spann Dr Suite D Brandon MS 39047-8752 |
| Practice Telephone | 6019191800 |
| Practice Fax Number | 6019190974 |
| Mailing Telephone | 6019191800 |
| Mailing Fax Number | 6019190974 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-12-20 |
| Authorized Official Name | DAVID A MCCAY (OWNER / PARTNER) |
| Authorized Official Telephone | 6019191800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00576530 | 05 |
| Street Address |
105 SPANN DR SUITE D |
| City | BRANDON |
| State | MS |
| Zip Code | 39047-8752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487893368 | Merikelly Borgognoni | Dietitian, Registered | 105 Spann Dr, Suite C, Brandon, MS 39047-8810 | 2009-02-17 |
| 1366633109 | Lauren Paige Mcfall | Dietitian, Registered | 105 Spann Dr, Ste C, Brandon, MS 39047-8752 | 2007-08-07 |
| 1346304953 | Ashley W Faulkner | Dietitian, Registered | 105 Spann Dr, Suite C, Brandon, MS 39047-8752 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396368783 | Siyuan Chen Kennedy | Counselor | 108 Sandstone Drive, Brandon, MS 39047 | 2020-05-20 |
| 1568019784 | Juarez Brown Emerson | Registered Nurse | 426 Pinebrook Circle, Brandon, MS 39047 | 2019-08-22 |
| 1649764127 | Specialty Diagnostics LLC | Family Medicine | 1149 Old Fannin Rd Ste 22, Brandon, MS 39047 | 2018-06-19 |
| 1528423035 | Kathlene Strangeman | Social Worker | 111 Lakeshore Dr Apt G403, Brandon, MS 39047 | 2015-12-28 |
| 1174935076 | Anthony Davis | Counselor | 198 Bellegrove Cir, Brandon, MS 39047 | 2014-05-27 |
| 1144659178 | Medical Foundation of Central Ms, Inc | Family Medicine | 1887 Spillway Rd., Brandon, MS 39047 | 2013-11-12 |
| 1437429941 | Picton Timothy Evans | Pharmacist | 150 B Cumberland Ed, Brandon, MS 39047 | 2012-01-01 |
| 1275828030 | Kathryn Audell Piburn | Nurse Practitioner | 1887 Spillway Rd Ste 140, Brandon, MS 39047 | 2011-06-09 |
| 1801930532 | Susanne Reynolds Moore | Dentist | 1149 Old Fannin Rd, Suite 26, Brandon, MS 39047 | 2007-02-16 |
| 1194898429 | Brookshire Grocery Company | Durable Medical Equipment & Medical Supplies | 143 Plaza Drive Ext, Attention Pharmacy Dept, Brandon, MS 39047 | 2006-11-16 |
| Find all providers in zip 39047 | ||||
| Taxonomy Code | 332BP3500X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Parenteral & Enteral Nutrition |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124465810 | M-d Medical Services, Inc. | Durable Medical Equipment & Medical Supplies | 105 Spann Dr Ste A, Brandon, MS 39047-8810 | 2013-06-04 |
| 1568807857 | Wavecare Health Services, LLC | Durable Medical Equipment & Medical Supplies | 1353 Oakfield Dr, Brandon, FL 33511-4823 | 2013-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326494329 | Cornerstone Hme | Durable Medical Equipment & Medical Supplies | 6228 Sierra Dr, Olive Branch, MS 38654-7964 | 2016-05-09 |
| 1679910269 | Atticus Group LLC | Durable Medical Equipment & Medical Supplies | 276 Nissan Pkwy Bldg A, Suite 400, Canton, MS 39046-7006 | 2013-05-23 |
| 1518146455 | Indianola Medical Solutions LLC | Durable Medical Equipment & Medical Supplies | 612 Sunflower Avenue Ext, Building 1-a, Indianola, MS 38751-2333 | 2007-10-28 |
| 1952598153 | Cma Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 901 N State St, Suite A, Jackson, MS 39202-2627 | 2007-10-02 |
| 1902980329 | Home Medical Equipment | Durable Medical Equipment & Medical Supplies | 923a Wayne Street, Waynesboro, MS 39367-2571 | 2006-10-24 |
| 1023118817 | Jasper General Hospital | Durable Medical Equipment & Medical Supplies | 15 A South 6th Street, Bay Springs, MS 39422 | 2006-09-22 |
| 1518976380 | M-d Medical Services, Inc. | Durable Medical Equipment & Medical Supplies | 1018 N Flowood Dr, Flowood, MS 39232-9532 | 2006-08-07 |
| 1669489845 | Dura-quip Medical Equipment Inc. | Durable Medical Equipment & Medical Supplies | 2039 Highway 35 South, Forest, MS 39074 | 2006-08-01 |
| 1780618785 | A&a Home Health Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 221 Highway 1 S, Greenville, MS 38701-4304 | 2006-07-10 |
| 1407889934 | Longwind Product & Service, Inc | Durable Medical Equipment & Medical Supplies | 205 W Woodrow Wilson Ave, Jackson, MS 39213-7647 | 2006-07-08 |
| 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.