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JACKSON MEDICAL SUPPLY
NPI 1205895679
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies in Jackson, MS

Active since March 22, 2006
129 E MCDOWELL RD, JACKSON, MS 39204(601) 376-0855(601) 376-0854 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jackson Medical Supply NPPES

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

JACKSON MEDICAL SUPPLY (NPI 1205895679) is a healthcare organization registered as an oxygen equipment & supplies in Jackson, Mississippi and active in the NPI registry since March 2006. The organization lists Sylvester Chukwuemeka Oguh, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1205895679
Entity TypeOrganization
Primary Taxonomy332BX2000X
Legal Business NameCHISOM MEDICAL GROUP LLC.
Location Address129 E MCDOWELL RDJackson, MS 39204-5719
Mailing Address129 E Mcdowell RdJackson, MS 39204-5719 · (601) 376-0855 · Fax (601) 376-0854
Phone(601) 376-0855
Fax(601) 376-0854
Organization SubpartNo
Authorized OfficialSylvester Chukwuemeka OguhPresident/ceo · (601) 454-3878
Enumeration DateMarch 22, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1205895679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Oxygen Equipment & SuppliesSuppliers
Taxonomy Code332BX2000X
License✔ Licensed in MS · 06365 / 11.1
129 E MCDOWELL RD, Jackson, MS 39204
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Other Names 1

Doing Business AsJackson Medical Supply

Other Identifiers 1

Medicaid00172074MS

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 Chisom Medical Group LLC.'s NPI number?

The NPI number for Chisom Medical Group LLC. is 1205895679. It was assigned to this organization in the NPPES registry on March 22, 2006. The provider is doing business as Jackson Medical Supply.

Where is Chisom Medical Group LLC. located?

Chisom Medical Group LLC. is located at 129 E Mcdowell Rd, Jackson, MS 39204. The listed phone number is (601) 376-0855.

What is Chisom Medical Group LLC.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Oxygen Equipment & Supplies, with taxonomy code 332BX2000X.

When was this NPI record last updated?

The NPPES record for Chisom Medical Group LLC. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.