LUMAS HEALTHCARE AND ASSOCIATES LLC
NPI 1396476875
Nurse Practitioner - Family in Grenada, MS

Active since June 23, 2022CLIA 25D2264551 · Waiver
340 VAN DORN ST, GRENADA, MS 38901(662) 520-8663 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lumas Healthcare And Associates Llc NPPES

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

LUMAS HEALTHCARE AND ASSOCIATES LLC (NPI 1396476875) is a healthcare organization registered as a family in Grenada, Mississippi and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through July 14, 2028 and lists Shakeva M Lumas, Fnp-c, as its authorized official.

NPPES Registry Identity

NPI1396476875
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameLUMAS HEALTHCARE AND ASSOCIATES LLC
Location Address340 VAN DORN STGrenada, MS 38901-4738
Mailing Address340 Van Dorn StGrenada, MS 38901-4738 · (662) 520-8663
Organization SubpartNo
Authorized OfficialShakeva M LumasFnp-c · (662) 520-8663
Enumeration DateJune 23, 2022
NPPES CertifiedJune 23, 2022
✔ NPI 1396476875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
340 VAN DORN ST, Grenada, MS 38901

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lumas Healthcare And Associates Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lumas Healthcare And Associates LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1356072565
340 VAN DORN ST
Grenada, MS 38901
(662) 520-8663
✔ PECOS✔ Accepts MedicareSame address

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

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 of Waiver 25D2264551

Lumas Healthcare And Associates LLC · Grenada, MS
Active · expires Jul 14, 2028
CLIA Number25D2264551
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 15, 2026
Certificate Expiration DateJuly 14, 2028
Laboratory DirectorShakeva Lumas
Laboratory Phone(662) 620-8663
Laboratory LocationLumas Healthcare And Associates LLC340 Van Dorn St Rm #1, Grenada, MS 38901
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Lumas Healthcare And Associates LLC's NPI number?

The NPI number for Lumas Healthcare And Associates LLC is 1396476875. It was assigned to this organization in the NPPES registry on June 23, 2022.

Where is Lumas Healthcare And Associates LLC located?

Lumas Healthcare And Associates LLC is located at 340 Van Dorn St, Grenada, MS 38901. The listed phone number is (662) 520-8663.

What is Lumas Healthcare And Associates LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lumas Healthcare And Associates LLC enrolled in Medicare?

Yes. Lumas Healthcare And Associates LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lumas Healthcare And Associates LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Lumas Healthcare And Associates LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Lumas Healthcare And Associates LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2264551) is associated with this NPI, valid through July 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lumas Healthcare And Associates LLC accept?

Health plans from Molina Healthcare list Lumas Healthcare And Associates LLC 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 Lumas Healthcare And Associates LLC was last updated on June 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.