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EAST LAKELAND OB GYN ASSOCIATES, P.A.
NPI 1235220112
Obstetrics & Gynecology in Jackson, MS

Active since September 27, 2006CLIA 25D2139314 · Microscopy
1020 RIVER OAKS DR, SUITE 320, JACKSON, MS 39232(601) 936-1400(601) 936-0671 Get Directions Write a Review

NPPES record last updated: May 27, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About East Lakeland Ob Gyn Associates, P.a. NPPES

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

EAST LAKELAND OB GYN ASSOCIATES, P.A. (NPI 1235220112) is a healthcare organization registered as an obstetrics & gynecology in Jackson, Mississippi and active in the NPI registry since September 2006. The organization holds a CLIA Microscopy certificate valid through March 31, 2027 and lists Beverly Ann Mcmillan, President, as its authorized official.

NPPES Registry Identity

NPI1235220112
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameEAST LAKELAND OB GYN ASSOCIATES, P.A.
Location Address1020 RIVER OAKS DR, SUITE 320Jackson, MS 39232-9500
Mailing Address1020 River Oaks Dr, Suite 320Jackson, MS 39232-9500 · (601) 936-1400 · Fax (601) 936-0671
Phone(601) 936-1400
Fax(601) 936-0671
Organization SubpartNo
Authorized OfficialBeverly Ann McmillanPresident · (601) 936-1400
Enumeration DateSeptember 27, 2006
Last NPPES UpdateMay 27, 2008
✔ NPI 1235220112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1020 RIVER OAKS DR, Jackson, MS 39232
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Other Identifiers 2

Medicare PINC00927MS
Medicaid9013604MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 25D2139314

East Lakeland Ob/Gyn Associates · Flowood, MS
Active · expires Mar 31, 2027
CLIA Number25D2139314
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorMissy J. Mcminn
Laboratory Phone(601) 420-7433
Laboratory LocationEast Lakeland Ob/Gyn Associates1020 River Oaks Dr Ste 320 Lab 1, Flowood, MS 39232
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

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

DR. WILLIAM GARNER BUSH M.D.
Obstetrics & Gynecology
1020 RIVER OAKS DR, SUITE 410
JACKSON, MS 39232
Rankin County (601) 664-0111
RIVER OAKS MANAGEMENT COMPANY LLC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1020 RIVER OAKS DR, SUITE 400
FLOWOOD, MS 39232
Rankin County (601) 376-1394
MISSISSIPPI NEUROLOGY CENTER, PA
Psychiatry & Neurology (Neurology)
1020 RIVER OAKS DR, SUITE 420
FLOWOOD, MS 39232
Rankin County (601) 939-4198
DR. MEGAN LYNN WASHINGTON D.O.
Pediatrics
1020 RIVER OAKS DR, STE 100
FLOWOOD, MS 39232
Rankin County (601) 326-8700
SOUTHERN WOMEN'S HEALTH, PLLC
Obstetrics & Gynecology (Obstetrics)
1020 RIVER OAKS DR, SUITE 310
JACKSON, MS 39232
Rankin County (601) 932-5006
BROOKS GRIFFIN, MD, PLLC
Specialist
1020 RIVER OAKS DR, SUITE 110
FLOWOOD, MS 39232
Rankin County (601) 932-7005
DR. SHANI KIRK MECK M.D.
Obstetrics & Gynecology
1020 RIVER OAKS DR, SUITE 320
JACKSON, MS 39232
Rankin County (601) 936-1400
MRS. MARY KATHLEEN SARTIN CFNP
Nurse Practitioner
1020 RIVER OAKS DR, SUITE 320
JACKSON, MS 39232
Rankin County (601) 936-1400

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 East Lakeland Ob Gyn Associates, P.A.'s NPI number?

The NPI number for East Lakeland Ob Gyn Associates, P.A. is 1235220112. It was assigned to this organization in the NPPES registry on September 27, 2006.

Where is East Lakeland Ob Gyn Associates, P.A. located?

East Lakeland Ob Gyn Associates, P.A. is located at 1020 River Oaks Dr Suite 320, Jackson, MS 39232. The listed phone number is (601) 936-1400.

What is East Lakeland Ob Gyn Associates, P.A.'s specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does East Lakeland Ob Gyn Associates, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 25D2139314) is associated with this NPI, valid through March 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does East Lakeland Ob Gyn Associates, P.A. accept?

Health plans from Molina Healthcare list East Lakeland Ob Gyn Associates, P.A. 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 East Lakeland Ob Gyn Associates, P.A. was last updated on May 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.