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Mid South Rehab Outpatient Clinic LLC

Physical Therapy Clinic/Center in Jackson, TN · enumerated 2017 · authorized official Charlean Williams, Vp of Compliance/Him.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1265977847

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Registry record

Entity type Organization (Type 2)
Legal business name Mid South Rehab Outpatient Clinic LLC
Other name <Unavail>
Practice address 3131 N Highland Ave, Jackson, TN, 38305
Phone (601) 605-6777
Fax (601) 607-1415
Enumeration date Jan 5, 2017
Last updated in NPPES Jun 20, 2024

Taxonomy & classification

261QP2000X Physical Therapy Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Charlean Williams
Title Vp of Compliance/Him
Phone (601) 909-4210

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Mid South Rehab Outpatient Clinic LLC?
Mid South Rehab Outpatient Clinic LLC is registered in NPPES as a Physical Therapy Clinic/Center (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-06-20.