Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mid South Med, LLC

Organization Primary Care Clinic/Center · NPI 1356893226

Mid South Med, LLC is a Primary Care Clinic/Center in Lakeland, Tennessee. Licensed in Tennessee. Registered with an NPI since 2016.

Licensed in
TN
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9160 Highway 64 Ste 5
Lakeland, TN 38002-4766
Phone: (901) 623-3587
Fax: (901) 213-9235
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence MD0000006816 (TN)

Record details

NPI number1356893226
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Oliver Banks — Office Manager · (901) 497-1040
Other names Wellness Walk-In Clinic
NPI enumeratedOctober 26, 2016
Last updated in NPPESOctober 26, 2016
Mailing address9160 Highway 64, Suite 5, Lakeland, TN 38002-4766

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