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DR. VIVIAN ELIZABETH 'LISA' HUDDLESTON MD
NPI 1093784209
Pediatrics in Greenwood, MS

Active since March 17, 2006PECOS Enrolled
69.83/100
CMS Quality Rating
1405 STRONG AVE, GREENWOOD, MS 38930(662) 459-7030 Get Directions Write a Review

NPPES record last updated: August 20, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Vivian Elizabeth 'lisa' Huddleston Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. VIVIAN ELIZABETH 'LISA' HUDDLESTON MD (NPI 1093784209) is an individual pediatrics provider in Greenwood, Mississippi, licensed in Mississippi (18482) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093784209
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. VIVIAN ELIZABETH 'LISA' HUDDLESTONCredential: MD
Location Address1405 STRONG AVEGreenwood, MS 38930-4035
Mailing AddressPo Box 1410, Attn: Clinic AdministrationGreenwood, MS 38935-1410 · (662) 459-7285
Phone(662) 459-7030
Sole ProprietorNo
Enumeration DateMarch 17, 2006
Last NPPES UpdateAugust 20, 2019
✔ NPI 1093784209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MS · 18482
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1405 STRONG AVE, Greenwood, MS 38930
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Other Identifiers 1

Medicaid06771370MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Vivian Elizabeth 'lisa' Huddleston Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Vivian Huddleston reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Sunflower Medical Center
1.1 mi
Rural Health
205 WEST PARK AVE
Greenwood, MS 38930
  • Reassigned Medicare billing, Mississippi enrollment
  • Also billed through NPI 1508913609 (Mississippi)
  • 109 clinicians in this Medicare group
NPI 1063292464 (662) 219-2742
State Of Mississippi-University Of Mississippi Medical Center
28 mi
Family Medicine
965 AVENT DR, SUITE 100A
Grenada, MS 38901
  • Reassigned Medicare billing, Mississippi enrollment
  • 1,932 clinicians in this Medicare group
NPI 1932538527 (662) 227-7444

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38930 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

69.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.08
Promoting Interoperability83
Improvement Activities40
Cost48.31

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DIANNE RUSCOE NP
Nurse Practitioner (Pediatrics)
1405 STRONG AVE
GREENWOOD, MS 38930
Leflore County (662) 459-7030
DR. CLAUDINE STEVENS MD
Pediatrics
1405 STRONG AVE
GREENWOOD, MS 38930
Leflore County (662) 459-7030
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Clinic/Center (Rural Health)
1405 STRONG AVE
GREENWOOD, MS 38930
Leflore County (662) 495-7030
MRS. KARLEE KELLY FNP
Pediatrics
1405 STRONG AVE
GREENWOOD, MS 38930
Leflore County (662) 459-7030
GREENWOOD LEFLORE HOSPITAL
Clinic/Center (Rural Health)
1405 STRONG AVE
GREENWOOD, MS 38930
Leflore County (662) 459-7030
DR. BILLY BOLDON DO
Pediatrics
1405 STRONG AVE
GREENWOOD, MS 38930
Leflore County (662) 459-7030

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 Vivian Huddleston's NPI number?

The NPI number for Vivian Huddleston is 1093784209. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Where is Vivian Huddleston located?

Vivian Huddleston practices at 1405 Strong Ave, Greenwood, MS 38930. The listed phone number is (662) 459-7030.

What is Vivian Huddleston's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Vivian Huddleston enrolled in Medicare?

Yes. Vivian Huddleston is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Vivian Huddleston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vivian Huddleston reassigns Medicare benefits to 2 organizations: North Sunflower Medical Center (Greenwood, MS) and State Of Mississippi-University Of Mississippi Medical Center (Grenada, MS). 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 Vivian Huddleston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vivian Huddleston 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 Vivian Huddleston 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.

When was this NPI record last updated?

The NPPES record for Vivian Huddleston was last updated on August 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.