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METHODIST ORTHOTICS & PROSTHETICS CLEVELAND
NPI 1104138940
Prosthetic/Orthotic Supplier in Cleveland, MS

Active since July 09, 2010CLIA 25D1039754 · Waiver
804 1ST ST, CLEVELAND, MS 38732(662) 846-6555(662) 846-6655 Get Directions Write a Review

NPPES record last updated: October 15, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Methodist Orthotics & Prosthetics Cleveland NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

METHODIST ORTHOTICS & PROSTHETICS CLEVELAND (NPI 1104138940) is a healthcare organization registered as a prosthetic/orthotic supplier in Cleveland, Mississippi and active in the NPI registry since July 2010. The organization holds a CLIA Waiver certificate valid through April 20, 2027 and lists Gary Armstrong, Cfo, as its authorized official.

NPPES Registry Identity

NPI1104138940
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameMISSISSIPPI METHODIST HOSPITAL & REHABILITATION CENTER, INC.
Location Address804 1ST STCleveland, MS 38732-2310
Mailing Address1350 E Woodrow Wilson AveJackson, MS 39216-5112
Phone(662) 846-6555
Fax(662) 846-6655
Organization SubpartNo
Authorized OfficialGary ArmstrongCfo · (601) 981-2611
Enumeration DateJuly 9, 2010
Last NPPES UpdateOctober 15, 2010
✔ NPI 1104138940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
804 1ST ST, Cleveland, MS 38732
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Other Names 1

Doing Business AsMethodist Orthotics & Prosthetics Cleveland

Other Identifiers 1

Medicare PIN250152MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D1039754

Mississippi Methodist Rehabilitation Center · Jackson, MS
Active · expires Apr 20, 2027
CLIA Number25D1039754
Laboratory TypeHospital
Certificate Effective DateApril 21, 2025
Certificate Expiration DateApril 20, 2027
Laboratory DirectorMs. Terri L. Meadows
Laboratory Phone(601) 981-2611
Laboratory LocationMississippi Methodist Rehabilitation Center1350 E Woodrow Wilson Dr, Jackson, MS 39216
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 8

Medicare supplier enrollment and the product categories Methodist Orthotics + Prosthetics carries, from the Medicare DMEPOS supplier directory.

Methodist Orthotics + Prosthetics

DMEPOS supplier · Cleveland, MSOperated by Mississippi Methodist Hospital & Rehabilitation Center, Inc.
⋮

Does not accept Medicare assignment

Methodist Orthotics + Prosthetics has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20306207
Medicare Participant SinceMay 16, 2023
Supplier Location804 1st StCleveland, MS 38732
Phone(662) 846-6555
Supplier Specialties
Orthotic Personnel Prosthetic Personnel Hospital

Medicare Product Categories

Neuromuscular Elect Stimulators (NMES)/Supplies
Electrodes, lead wires, adhesive tape
Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Limb Prostheses
Prosthetic arms, Prosthetic feet, Prosthetic knees
Diabetic Shoes and Inserts
Shoes, Socks, Insoles
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEW COVENANT HOSPICE, LLC
Hospice Care, Community Based
804 1ST ST, SUITE 1
CLEVELAND, MS 38732
Bolivar County (662) 843-3395

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mississippi Methodist Hospital & Rehabilitation Center, Inc.'s NPI number?

The NPI number for Mississippi Methodist Hospital & Rehabilitation Center, Inc. is 1104138940. It was assigned to this organization in the NPPES registry on July 9, 2010. The provider is doing business as Methodist Orthotics & Prosthetics Cleveland.

Where is Mississippi Methodist Hospital & Rehabilitation Center, Inc. located?

Mississippi Methodist Hospital & Rehabilitation Center, Inc. is located at 804 1st St, Cleveland, MS 38732. The listed phone number is (662) 846-6555.

What is Mississippi Methodist Hospital & Rehabilitation Center, Inc.'s specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Does Mississippi Methodist Hospital & Rehabilitation Center, Inc. accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Methodist Orthotics + Prosthetics does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Mississippi Methodist Hospital & Rehabilitation Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D1039754) is associated with this NPI, valid through April 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mississippi Methodist Hospital & Rehabilitation Center, Inc. accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Mississippi Methodist Hospital & Rehabilitation Center, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mississippi Methodist Hospital & Rehabilitation Center, Inc. was last updated on October 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.