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

Performance Mediequip Supply LLC

Organization Customized Equipment (DME) · NPI 1568652568

Performance Mediequip Supply LLC is a Customized Equipment (DME) in Diberville, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.

Licensed in
MS
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4060 Popps Ferry Rd
Diberville, MS 39540-2378
Phone: (662) 719-8570
Show map & directions

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

Specialties & licences

Customized Equipment (DME) (primary) Taxonomy 332BC3200X (MS)

Record details

NPI number1568652568
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joel Walters — Owner · (662) 719-8570
NPI enumeratedJuly 26, 2007
Last updated in NPPESJuly 26, 2007
Mailing address4060 Popps Ferry Rd, Diberville, MS 39540-2378