1. Home
  2. Directory
  3. Mississippi
  4. Jackson
  5. Prosthetic Orthotic Supplier
  6. NPI Profile

MID STATE ARTIFICIAL LIMB CO, INC
NPI 1184718132
Prosthetic/Orthotic Supplier in Jackson, MS

Active since October 03, 2006
4455 MEDGAR EVERS BLVD, JACKSON, MS 39213(601) 981-2229(601) 362-2129 Get Directions Write a Review

NPPES record last updated: November 9, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mid State Artificial Limb Co, Inc NPPES

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

MID STATE ARTIFICIAL LIMB CO, INC (NPI 1184718132) is a healthcare organization registered as a prosthetic/orthotic supplier in Jackson, Mississippi and active in the NPI registry since October 2006. The organization lists Troy Luster, President, as its authorized official.

NPPES Registry Identity

NPI1184718132
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameMID STATE ARTIFICIAL LIMB CO, INC
Location Address4455 MEDGAR EVERS BLVDJackson, MS 39213-5202
Mailing AddressPo Box 31092Jackson, MS 39286-1092 · (601) 981-2229 · Fax (601) 362-2129
Phone(601) 981-2229
Fax(601) 362-2129
Organization SubpartNo
Authorized OfficialTroy LusterPresident · (601) 981-2229
Enumeration DateOctober 3, 2006
Last NPPES UpdateNovember 9, 2010
✔ NPI 1184718132 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.
4455 MEDGAR EVERS BLVD, Jackson, MS 39213
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified0400990001
Medicaid00040105MS

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Mid State Artificial Limb Co Inc carries, from the Medicare DMEPOS supplier directory.

Mid State Artificial Limb Co Inc

DMEPOS supplier · Jackson, MS
✔

Accepts Medicare assignment

Mid State Artificial Limb Co Inc agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20644475
Medicare Participant SinceJanuary 1, 1998
Supplier Location4455 Medgar Evers BlvdJackson, MS 39213
Phone(601) 981-2229
Supplier Specialties
Prosthetic Personnel

Medicare Product Categories

Limb Prostheses
Prosthetic arms, Prosthetic feet, Prosthetic knees
Diabetic Shoes/Inserts - Custom
Custom fabricated shoes, socks, & insoles
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Mid State Artificial Limb Co, Inc's NPI number?

The NPI number for Mid State Artificial Limb Co, Inc is 1184718132. It was assigned to this organization in the NPPES registry on October 3, 2006.

Where is Mid State Artificial Limb Co, Inc located?

Mid State Artificial Limb Co, Inc is located at 4455 Medgar Evers Blvd, Jackson, MS 39213. The listed phone number is (601) 981-2229.

What is Mid State Artificial Limb Co, Inc's specialty?

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

Does Mid State Artificial Limb Co, Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Mid State Artificial Limb Co Inc accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Mid State Artificial Limb Co, Inc was last updated on November 9, 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.