OrganizationActive
At Home Medical Supply
NPI 1164877379 · Durable Medical Equipment & Medical Supplies · Port Gibson, MS
Provider details
- NPI number
- 1164877379
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Jeanette Felton, Ceo(601) 437-3524
Specialties & taxonomies
Suppliers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
306 Church St
Port Gibson, MS 39150-2108
Phone: (601) 437-3524
Street-level locationGet directions
Mailing address
5015 I 55 N Ste B
Jackson, MS 39206-4306
Registry dates
- Enumerated
- 2016-04-26
- Last updated
- 2016-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.