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EXTENDED CARE PROSTHETICS OF MISSISSIPPI
NPI 1912141516
Prosthetic/Orthotic Supplier in Clinton, MS

Active since April 27, 2009
801 E NORTHSIDE DR, SUITE D, CLINTON, MS 39056(601) 924-2888(601) 924-2885 Get Directions Write a Review

NPPES record last updated: May 19, 2009. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Extended Care Prosthetics Of Mississippi NPPES

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

EXTENDED CARE PROSTHETICS OF MISSISSIPPI (NPI 1912141516) is a healthcare organization registered as a prosthetic/orthotic supplier in Clinton, Mississippi and active in the NPI registry since April 2009. The organization lists Nelson Wilson, Owner, as its authorized official.

NPPES Registry Identity

NPI1912141516
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameNELSON WILSON, IV
Location Address801 E NORTHSIDE DR, SUITE DClinton, MS 39056-3663
Mailing Address801 E Northside Dr, Suite DClinton, MS 39056-3663 · (601) 924-2888 · Fax (601) 924-2885
Phone(601) 924-2888
Fax(601) 924-2885
Organization SubpartNo
Authorized OfficialNelson WilsonOwner · (601) 951-7012
Enumeration DateApril 27, 2009
Last NPPES UpdateMay 19, 2009
✔ NPI 1912141516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License✔ Licensed in MS · C36423
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.
801 E NORTHSIDE DR, Clinton, MS 39056
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Other Names 1

Doing Business AsExtended Care Prosthetics Of Mississippi

Other Identifiers 1

Medicare NSC6171300001MS

Other Providers at the Same Location NPPES 3

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

MR. NELSON WILSON IV CP
Specialist (Prosthetics Case Management)
801 E NORTHSIDE DR, SUITE D
CLINTON, MS 39056
Hinds County (601) 924-2888
CUSTOM PROSTHETIC & ORTHOTIC
Prosthetic/Orthotic Supplier
801 E NORTHSIDE DR, SUITE - D
CLINTON, MS 39056
Hinds County (601) 906-1024
MRS. JOHNNIE MAE OWENS CNA CHILD CARE CREDE
Orthotic Fitter
801 E NORTHSIDE DR, SUITE D
CLINTON, MS 39056
Hinds County (601) 906-1024

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 Nelson Wilson, IV's NPI number?

The NPI number for Nelson Wilson, IV is 1912141516. It was assigned to this organization in the NPPES registry on April 27, 2009. The provider is doing business as Extended Care Prosthetics Of Mississippi.

Where is Nelson Wilson, IV located?

Nelson Wilson, IV is located at 801 E Northside Dr Suite D, Clinton, MS 39056. The listed phone number is (601) 924-2888.

What is Nelson Wilson, IV's specialty?

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

When was this NPI record last updated?

The NPPES record for Nelson Wilson, IV was last updated on May 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.