TRI-STATE MEDICAL SUPPLY LLC
NPI 1396219325
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies in Pope, MS

Q: What is Tri-State Medical Supply LLC's NPI number?

The NPI number for Tri-State Medical Supply LLC is 1396219325. It was assigned to this organization in the NPPES registry on January 12, 2019.

Q: What is Tri-State Medical Supply 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.

Active since January 12, 2019

6392 HIGHWAY 51 N, POPE, MS 38658(662) 703-0317 Get Directions Write a Review

NPPES record last updated: June 4, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 4, 2020, Jan 12, 2019 (2 updates tracked since 2019).

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About Tri-state Medical Supply Llc NPPES

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

TRI-STATE MEDICAL SUPPLY LLC (NPI 1396219325) is a healthcare organization registered as an oxygen equipment & supplies in Pope, Mississippi and active in the NPI registry since January 2019. The organization lists Clifton Wade Gant, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1396219325

Entity TypeOrganization

Primary Taxonomy332BX2000X

Legal Business NameTRI-STATE MEDICAL SUPPLY LLC

Location Address6392 HIGHWAY 51 NPope, MS 38658-2421

Mailing Address6392 Highway 51 NPope, MS 38658-2421 · (662) 267-3112

Phone(662) 703-0317

Organization SubpartNo

Authorized OfficialClifton Wade GantCo-owner · (662) 703-0317

Enumeration DateJanuary 12, 2019

Last NPPES UpdateJune 4, 20202 updates tracked since enumeration

NPPES CertifiedJune 4, 2020

✔ NPI 1396219325 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

6392 HIGHWAY 51 N, Pope, MS 38658

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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 Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tri-state Medical Supply Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateMississippiEnrollment IDO20200427001308DME · Medical Supply CompanyDue dateDecember 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Medical Equipment Supplier Medicare DMEPOS 35

Medicare supplier enrollment and the product categories Tri-State Medical Supply LLC carries, from the Medicare DMEPOS supplier directory.

Tri-State Medical Supply LLC

DMEPOS supplier · Pope, MS

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Does not accept Medicare assignment

Tri-State Medical Supply LLC 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)20415221

Medicare Participant SinceMarch 1, 2020

Supplier Location6392 Highway 51 NPope, MS 38658

Phone(662) 267-3112

Provider TypeOxygen & Equipment

Supplier Specialties

Medical Supply Company Other MSC With Respiratory Therapist

Medicare Product Categories

Commodes, Urinals, Bedpans

Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals

Continuous Passive Motion (CPM) Devices

Knee CPM machines, Shoulder CPM machines, Hand & wrist CPM machines

Blood Glucose Monitors/Supplies (Non-Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Blood Glucose Monitors/Supplies (Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Hospital Beds (Electric)

Total electric hospital beds, Semi-electric hospital beds

Hospital Beds (Manual)

Fixed height hospital beds, Variable height hospital beds

Pneumatic Compression Devices and/or Supplies

Pnuematic compressor, Arm pneumatic appliance, Leg pneumatic appliance

Support Surfaces: Pressure Reducing Beds/Mats/Pads

Group 1 – Alternating pressure pad, Air/Water/Dry pressure pad or pressure mattress. Group 2 - Pressure reducing powered air mattresses, Powered air flotation bed, non-powered pressure reducing mattress Group 3 – Air fluidized bed

Traction Equipment

Traction tables, Traction machines, Inversion tables

(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies

Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain

Canes and/or Crutches

Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches

Patient Lifts

Ceiling lifts, Slings

Power Operated Vehicles (Scooters)

Scooters

Seat Lift Mechanisms

Lift chair

Walkers

Standard Walkers, Wheeled Walkers, Folding Walker

Wheelchairs (Standard Manual)

Standard wheelchairs, transport wheelchairs, heavy duty wheelchairs

Wheelchairs (Standard Manual Related Accessories)

Accessories for standard wheelchairs, transport wheelchairs, heavy duty wheelchairs

Wheelchairs (Standard Power)

Standard power wheelchairs, Heavy duty standard power wheelchairs

Wheelchairs (Standard Power Related Accessories)

Accessories for standard power wheelchairs, heavy duty standard power wheelchairs

Wheelchair Seating/Cushions

Wheelchair seat cushions, Wheelchair bank cushions, Wheelchair padded armrests

Orthoses: Off-The-Shelf

Met pads, Heel pads, Heel spur pads

Penile Pumps

Ostomy Supplies

Pouches, Paste, Powder, Barrier wipes

Tracheotomy Supplies

Tracheostomy care kits

Urological Supplies

Catheters, Urinary collection devices

Enteral Equipment and/or Supplies

Enteral infusion pumps, enteral nutrition supply kits

Continuous Positive Airway Pressure (CPAP) Devices

CPAP machines, Compressor systems, Humidifiers, Masks

High Freq Chest Wall Oscillation Devices/Supplies

Generator system, Vest, Hoses

Intermittent Positive Pressure Breathing IPPB DEV

Intermittent assist devices

Mechanical In-Exsufflation Devices

Mechanical in-exsufflation devices are designed to slowly inflate the lungs with positive pressure during inspiration and simulate cough with rapidly applied negative pressure during expiration.

Nebulizer Equipment and/or Supplies

Nebulizers, Atomizers, Filters

Oxygen Equipment and/or Supplies

Portable oxygen systems, Oxygen concentrators, Oxygen contents

Respiratory Assist Devices

Respiratory Suction Pumps

Portable suction pumps, Stationary suction pumps, Canisters

Surgical Dressings

Gauze, Elastic bandages, Adhesive tape

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 Tri-State Medical Supply LLC's NPI number?

The NPI number for Tri-State Medical Supply LLC is 1396219325. It was assigned to this organization in the NPPES registry on January 12, 2019.

Where is Tri-State Medical Supply LLC located?

Tri-State Medical Supply LLC is located at 6392 Highway 51 N, Pope, MS 38658. The listed phone number is (662) 703-0317.

What is Tri-State Medical Supply 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.

Is Tri-State Medical Supply LLC enrolled in Medicare?

Yes. Tri-State Medical Supply LLC is registered in the Medicare PECOS enrollment system.

When is Tri-State Medical Supply LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Mississippi, Medical Supply Company) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Tri-State Medical Supply LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Tri-State Medical Supply LLC 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.

What insurance does Tri-State Medical Supply LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Tri-State Medical Supply LLC 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 Tri-State Medical Supply LLC was last updated on June 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.