Diabetic Shoe Source
NPI 1396168290 · Durable Medical Equipment & Medical Supplies · Vicksburg, MS
Diabetic Shoe Source is a Durable Medical Equipment & Medical Supplies organization in Vicksburg, MS (NPI 1396168290).
Provider details
- NPI number
- 1396168290
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- James Phelan, Owner(601) 506-5689
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
- 2014-01-28
- Last updated
- 2014-01-28
Frequently asked questions
- What is Diabetic Shoe Source's NPI number?
- Diabetic Shoe Source's National Provider Identifier (NPI) is 1396168290, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Diabetic Shoe Source?
- Diabetic Shoe Source is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Diabetic Shoe Source located?
- Diabetic Shoe Source's practice location on file with NPPES is 104 Mcauley Dr, Vicksburg, MS 39183-2825.
- What is Diabetic Shoe Source's phone number?
- The practice phone number listed in the NPPES registry for Diabetic Shoe Source is (601) 883-3342.
- Who is the authorized official for Diabetic Shoe Source?
- The authorized official listed on Diabetic Shoe Source's NPPES record is James Phelan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Diabetic Shoe Source's NPI active?
- Yes — Diabetic Shoe Source's NPI (1396168290) is active in the NPPES registry as of the last update on 2014-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.