Healthcare Provider Details

I. General information

NPI: 1235803370
Provider Name (Legal Business Name): JONES COUNTY MEDICAL SUPPLIES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2021
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9095 HIGHWAY 49
GULFPORT MS
39503-4319
US

IV. Provider business mailing address

PO BOX 23
LAUREL MS
39441-0023
US

V. Phone/Fax

Practice location:
  • Phone: 228-241-2100
  • Fax: 228-241-2101
Mailing address:
  • Phone: 601-426-2574
  • Fax: 601-518-6798

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: CLAYTON E. JOHNSON
Title or Position: OWNER/CEO
Credential:
Phone: 601-426-2574