OrganizationActive
Performance Mediequip Supply LLC
NPI 1568652568 · Customized Equipment (DME) · Diberville, MS
Performance Mediequip Supply LLC is a Customized Equipment (DME) organization in Diberville, MS (NPI 1568652568).
Provider details
- NPI number
- 1568652568
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Joel Walters, Owner(662) 719-8570
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
4060 Popps Ferry Rd
Diberville, MS 39540-2378
Phone: (662) 719-8570
Street-level locationGet directions
Mailing address
4060 Popps Ferry Rd
Diberville, MS 39540-2378
Registry dates
- Enumerated
- 2007-07-26
- Last updated
- 2007-07-26
Frequently asked questions
- What is Performance Mediequip Supply LLC's NPI number?
- Performance Mediequip Supply LLC's National Provider Identifier (NPI) is 1568652568, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Performance Mediequip Supply LLC?
- Performance Mediequip Supply LLC is classified in the NPPES registry as Customized Equipment (DME) (Suppliers).
- Where is Performance Mediequip Supply LLC located?
- Performance Mediequip Supply LLC's practice location on file with NPPES is 4060 Popps Ferry Rd, Diberville, MS 39540-2378.
- What is Performance Mediequip Supply LLC's phone number?
- The practice phone number listed in the NPPES registry for Performance Mediequip Supply LLC is (662) 719-8570.
- Who is the authorized official for Performance Mediequip Supply LLC?
- The authorized official listed on Performance Mediequip Supply LLC's NPPES record is Joel Walters, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Performance Mediequip Supply LLC's NPI active?
- Yes — Performance Mediequip Supply LLC's NPI (1568652568) is active in the NPPES registry as of the last update on 2007-07-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.