OrganizationActive
The Mane Physician
NPI 1902435118 · Prosthetic/Orthotic Supplier · Grenada, MS
The Mane Physician is a Prosthetic/Orthotic Supplier organization in Grenada, MS (NPI 1902435118).
Provider details
- NPI number
- 1902435118
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Camala Chism, Owner(769) 487-4187
Specialties & taxonomies
Suppliers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
94 Spain Drive
Grenada, MS 38901
Phone: (769) 487-4787
Street-level locationGet directions
Mailing address
428 Highway 6 E # 217
Batesville, MS 38606-3000
Additional practice locations (1)
- 428 Highway 6 E # 217Batesville, MS 38606-3000Phone: (769) 487-4187Fax: (662) 262-5711
Registry dates
- Enumerated
- 2020-04-08
- Last updated
- 2020-04-08
- Certified
- 2020-04-08
Frequently asked questions
- What is The Mane Physician's NPI number?
- The Mane Physician's National Provider Identifier (NPI) is 1902435118, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Mane Physician?
- The Mane Physician is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is The Mane Physician located?
- The Mane Physician's practice location on file with NPPES is 94 Spain Drive, Grenada, MS 38901.
- What is The Mane Physician's phone number?
- The practice phone number listed in the NPPES registry for The Mane Physician is (769) 487-4787.
- Who is the authorized official for The Mane Physician?
- The authorized official listed on The Mane Physician's NPPES record is Camala Chism, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Mane Physician's NPI active?
- Yes — The Mane Physician's NPI (1902435118) is active in the NPPES registry as of the last update on 2020-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.