JESSICA ANNE LAUDERDALE DO
NPI 1093095523
Family Medicine in Pontotoc, MS
About Jessica Anne Lauderdale Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA ANNE LAUDERDALE DO (NPI 1093095523) is an individual family medicine provider in Pontotoc, Mississippi, licensed in Mississippi (23832) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, is affiliated with North Mississippi Medical Center, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jessica Anne Lauderdale Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Jessica Lauderdale reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pontotoc, MS 38863
- Reassigned Medicare billing, Mississippi enrollment
Aberdeen, MS 39730
- Reassigned Medicare billing, Mississippi enrollment
- 168 clinicians in this Medicare group
Ackerman, MS 39735
- Reassigned Medicare billing, Mississippi enrollment
- Also billed through NPI 1568879864 (Mississippi)
- 68 clinicians in this Medicare group
Baton Rouge, LA 70816
- Reassigned Medicare billing, Mississippi enrollment
- 41 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Mississippi Medical Center
Acute Care Hospitals · Tupelo, MSPontotoc Health Service Inc Cah
Critical Access Hospitals · Pontotoc, MSChoctaw Regional Medical Center
Critical Access Hospitals · Ackerman, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38863 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jessica Lauderdale's NPI number?
The NPI number for Jessica Lauderdale is 1093095523. It was assigned to this individual provider in the NPPES registry on August 29, 2011.
Where is Jessica Lauderdale located?
Jessica Lauderdale practices at 11 E Jefferson St, Pontotoc, MS 38863. The listed phone number is (662) 489-6041.
What is Jessica Lauderdale's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jessica Lauderdale enrolled in Medicare?
Yes. Jessica Lauderdale is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jessica Lauderdale's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Lauderdale reassigns Medicare benefits to 4 organizations: Lauderdale Medical Group PLLC (Pontotoc, MS), Boa Vida Hospital Of Aberdeen, Ms, LLC (Aberdeen, MS), Choctaw Regional Medical Center (Ackerman, MS) and Hospital Medicine Associates LLC (Baton Rouge, LA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Lauderdale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jessica Lauderdale accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Jessica Lauderdale as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Jessica Lauderdale affiliated with any hospitals?
According to CMS data, Jessica Lauderdale is affiliated with North Mississippi Medical Center, Pontotoc Health Service Inc Cah and Choctaw Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Jessica Lauderdale was last updated on November 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jessica Anne Lauderdale, DO · NPI 1093095523
Family Medicine physician in Pontotoc, Mississippi. Individual provider, active in the CMS NPPES registry since August 29, 2011.
## Identity
- **NPI:** 1093095523 (Entity type: Individual)
- **Enumerated:** August 29, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 23832 (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11 E JEFFERSON ST, Pontotoc, MS 38863-2807
- **Phone:** (662) 489-6041
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Lauderdale Medical Group PLLC (NPI 1689456527, Pontotoc, MS); Boa Vida Hospital Of Aberdeen, Ms, LLC (NPI 1710405741, Aberdeen, MS); Choctaw Regional Medical Center (NPI 1003223306, Ackerman, MS); Hospital Medicine Associates LLC (NPI 1093758781, Baton Rouge, LA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** November 17, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1093095523) · Data from the CMS NPPES public registry.