Blackwater Medical LLC
NPI 1033343603 · Durable Medical Equipment & Medical Supplies · Hattiesburg, MS
Blackwater Medical LLC is a Durable Medical Equipment & Medical Supplies organization in Hattiesburg, MS (NPI 1033343603).
Provider details
- NPI number
- 1033343603
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- James Collins, President(601) 264-0059
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-05-11
- Last updated
- 2009-05-11
Frequently asked questions
- What is Blackwater Medical LLC's NPI number?
- Blackwater Medical LLC's National Provider Identifier (NPI) is 1033343603, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blackwater Medical LLC?
- Blackwater Medical LLC is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Blackwater Medical LLC located?
- Blackwater Medical LLC's practice location on file with NPPES is 1 Lincoln Pkwy, Hattiesburg, MS 39402-3262.
- What is Blackwater Medical LLC's phone number?
- The practice phone number listed in the NPPES registry for Blackwater Medical LLC is (601) 264-0059.
- Who is the authorized official for Blackwater Medical LLC?
- The authorized official listed on Blackwater Medical LLC's NPPES record is James Collins, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blackwater Medical LLC's NPI active?
- Yes — Blackwater Medical LLC's NPI (1033343603) is active in the NPPES registry as of the last update on 2009-05-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.