OrganizationActive
Executive Medical Supplies LLC
NPI 1124312400 · Durable Medical Equipment & Medical Supplies · Forest, MS
Provider details
- NPI number
- 1124312400
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Milo Collins, Owner(769) 798-9799
- License
- 981193 (MS)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
135 E Third St
Forest, MS 39074-4101
Phone: (601) 469-9040
Street-level locationGet directions
Mailing address
135 E Third St
Forest, MS 39074-4101
Registry dates
- Enumerated
- 2011-06-04
- Last updated
- 2013-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.