MEDICARE: MIDSOUTH MEDICAL, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538890009
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIDSOUTH MEDICAL, INC.

Provider Business Mailing Address
First Line	:	P.O. BOX 4927
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71211-4927
Country	:	US
Telephone Number	:	318-855-0411
Fax Number	:	318-450-4232

Provider Business Practice Location Address
First Line	:	1475 DORCHESTER DRIVE
Second Line	:
City	:	ALEXANDRIA
State	:	LA
Zip	:	71301-3409
Country	:	US
Telephone Number	:	318-441-0220
Fax Number	:	318-450-4233

Authorized Official
Title or Position	:	CEO
Name	:	REBECCA JONES
Credential	:
Telephone Number	:	318-855-0411

Provider Enumeration Date	:	06/23/2022
Last Update Date	:	02/25/2025

Similar Medicare Providers

1336176296 — SARAH D THOMAS PT
Practice Location Address:

8101 HINSON FARM RD STE 401
ALEXANDRIA, VA
22306-3409

Practice Phone: 703-664-7660
Practice Fax: 703-664-7663

1639332737 — DR. ARCHANA REDDY M.D
Practice Location Address:

8101 HINSON FARM ROAD
ALEXANDRIA, VA
22306-3409

Practice Phone: 703-780-9014
Practice Fax: 703-780-9077

1598907909 — ABDULLA AL DAMLUJI M.D., M.P.H.
Practice Location Address:

8101 HINSON FARM RD STE 408
ALEXANDRIA, VA
22306-3409

Practice Phone: 703-780-9014
Practice Fax: 703-780-9077

1508092602 — GIRUM MEKONNEN M.D.
Practice Location Address:

8101 HINSON FARM RD STE 408
ALEXANDRIA, VA
22306-3409

Practice Phone: 703-780-9014
Practice Fax: 703-780-9077

1932468162 — MARIA OLIVIA A RICCI MSN, ANP-BC
Practice Location Address:

8101 HINSON FARM RD STE 408
ALEXANDRIA, VA
22306-3409

Practice Phone: 703-780-9014
Practice Fax: 703-780-9077

1265853097 — RYAN P SHUMATE PT, DPT
Practice Location Address:

8101 HINSON FARM RD STE 401
ALEXANDRIA, VA
22306-3409

Practice Phone: 703-664-7660
Practice Fax: 703-664-7663

Directions to “MIDSOUTH MEDICAL, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.