Recovery Specialists Of Mid South, LLC
Prevention Professional in Jackson, TN. Organization (NPI-2).
NPI number1417599747
StatusActive
Last updated in NPPESMar 25, 2025
Details
- NPI
- 1417599747
- Entity type
- Organization (NPI-2)
- Legal business name
- Recovery Specialists Of Mid South, LLC
- Organization subpart
- No
- Enumeration date
- Oct 8, 2019
- Certification date
- Mar 25, 2025
- Last updated
- Mar 25, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 405300000X | Prevention Professional | – | – | Yes |
Other names
- Mid South Recovery (Doing Business As)
Practice location
164 W University PkwyJackson, TN 38305-1621
Phone 731-215-1135 · Fax 731-410-6156
Mailing address
164 W University Pkwy Ste AJackson, TN 38305-1621
Phone 731-215-1135 · Fax 731-410-6156
Authorized official
Elizabeth M Cole
Director/Coowner
7312151135
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