Mid South Rehab Outpatient Clinic LLC
NPI 1265977847 · Physical Therapy Clinic/Center · Jackson, TN
Enrolled with Medicare as Part a Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mid South Rehab Outpatient Clinic LLC is a Physical Therapy Clinic/Center organization in Jackson, TN (NPI 1265977847).
Provider details
- NPI number
- 1265977847
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Charlean Williams, Vp of Compliance/Him(601) 909-4210
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Other names (DBA / former)
- Doing business as
- 360 Total Rehab
Additional practice locations (1)
- 3507 W Main StErin, TN 37061-4148Phone: (931) 289-5460
Registry dates
- Enumerated
- 2017-01-05
- Last updated
- 2024-06-20
- Certified
- 2024-06-20
Frequently asked questions
- What is Mid South Rehab Outpatient Clinic LLC's NPI number?
- Mid South Rehab Outpatient Clinic LLC's National Provider Identifier (NPI) is 1265977847, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mid South Rehab Outpatient Clinic LLC?
- Mid South Rehab Outpatient Clinic LLC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Mid South Rehab Outpatient Clinic LLC located?
- Mid South Rehab Outpatient Clinic LLC's practice location on file with NPPES is 3131 N Highland Ave, Jackson, TN 38305-3418.
- What is Mid South Rehab Outpatient Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Mid South Rehab Outpatient Clinic LLC is (601) 605-6777.
- Does Mid South Rehab Outpatient Clinic LLC accept Medicare?
- Mid South Rehab Outpatient Clinic LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mid South Rehab Outpatient Clinic LLC?
- The authorized official listed on Mid South Rehab Outpatient Clinic LLC's NPPES record is Charlean Williams, Vp of Compliance/Him. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mid South Rehab Outpatient Clinic LLC's NPI active?
- Yes — Mid South Rehab Outpatient Clinic LLC's NPI (1265977847) is active in the NPPES registry as of the last update on 2024-06-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.