OrganizationActive
Atlantic Medical, LLC
NPI 1588080881 · Mail Order Pharmacy · Hernando, MS
Provider details
- NPI number
- 1588080881
- Entity type
- Organization
- Primary specialty
- Mail Order PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jaci Tron, Office Manager(662) 449-3200
- License
- F11493 (MS)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(76/100 index)
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
1068 Thousand Oaks Dr
Suite B
Hernando, MS 38632-7742
Phone: (662) 449-3200
Fax: (888) 891-3929
Street-level locationGet directions
Mailing address
1785 Nonconnah Blvd
Memphis, TN 38132-2104
Other names (DBA / former)
- Doing business as
- Canyon Healthcare
Registry dates
- Enumerated
- 2014-03-11
- Last updated
- 2014-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.