OrganizationActive
Mid South Med, LLC
NPI 1356893226 · Primary Care Clinic/Center · Lakeland, TN
Mid South Med, LLC is a Primary Care Clinic/Center organization in Lakeland, TN (NPI 1356893226).
Provider details
- NPI number
- 1356893226
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Oliver Banks, Office Manager(901) 497-1040
- License
- MD0000006816 (TN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(71/100 index)
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
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
9160 Highway 64
Suite 5
Lakeland, TN 38002-4766
Phone: (901) 623-3587
Fax: (901) 213-9235
Approximate (ZIP-level) locationGet directions
Mailing address
9160 Highway 64
Lakeland, TN 38002-4766
Other names (DBA / former)
- Doing business as
- Wellness Walk-In Clinic
Registry dates
- Enumerated
- 2016-10-26
- Last updated
- 2016-10-26
Frequently asked questions
- What is Mid South Med, LLC's NPI number?
- Mid South Med, LLC's National Provider Identifier (NPI) is 1356893226, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mid South Med, LLC?
- Mid South Med, LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Mid South Med, LLC located?
- Mid South Med, LLC's practice location on file with NPPES is 9160 Highway 64, Lakeland, TN 38002-4766.
- What is Mid South Med, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mid South Med, LLC is (901) 623-3587.
- Who is the authorized official for Mid South Med, LLC?
- The authorized official listed on Mid South Med, LLC's NPPES record is Oliver Banks, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mid South Med, LLC's NPI active?
- Yes — Mid South Med, LLC's NPI (1356893226) is active in the NPPES registry as of the last update on 2016-10-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.