CENTRAL MISSISSIPPI FOOT SPECIALIST, PLLC
NPI 1407052319
Podiatrist - Foot Surgery in Brandon, MS
About Central Mississippi Foot Specialist, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTRAL MISSISSIPPI FOOT SPECIALIST, PLLC (NPI 1407052319) is a healthcare organization registered as a foot surgery in Brandon, Mississippi and active in the NPI registry since June 2007. The organization lists Lawrence Edward Tamburino, Doctor Of Podiatric Medicine, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Central Mississippi Foot Specialist, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Central Mississippi Foot Specialist, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Central Mississippi Foot Specialist, PLLC's NPI number?
The NPI number for Central Mississippi Foot Specialist, PLLC is 1407052319. It was assigned to this organization in the NPPES registry on June 26, 2007.
Where is Central Mississippi Foot Specialist, PLLC located?
Central Mississippi Foot Specialist, PLLC is located at 103 Service Dr, Brandon, MS 39042. The listed phone number is (601) 824-4700.
What is Central Mississippi Foot Specialist, PLLC's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.
Is Central Mississippi Foot Specialist, PLLC enrolled in Medicare?
Yes. Central Mississippi Foot Specialist, PLLC is registered in the Medicare PECOS enrollment system.
When is Central Mississippi Foot Specialist, PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Central Mississippi Foot Specialist, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Central Mississippi Foot Specialist, PLLC. 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.
When was this NPI record last updated?
The NPPES record for Central Mississippi Foot Specialist, PLLC was last updated on April 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Central Mississippi Foot Specialist, Pllc · NPI 1407052319
Foot Surgery organization in Brandon, Mississippi. Organization record, active in the CMS NPPES registry since June 26, 2007.
## Identity
- **NPI:** 1407052319 (Entity type: Organization)
- **Enumerated:** June 26, 2007
- **Primary specialty:** Podiatrist - Foot Surgery · taxonomy 213ES0131X
- **Organization subpart:** No
- **Authorized official:** Lawrence Tamburino, DOCTOR OF PODIATRIC MEDICINE
## Practice location
- **Address:** 103 SERVICE DR, Brandon, MS 39042-2401
- **Phone:** (601) 824-4700 · **Fax:** (601) 824-4800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 27, 2015
- **Other identifiers:** Medicare PIN 480000130 (MS); Medicare NSC 4348270001; Medicaid 09015930 (MS); and 2 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1407052319) · Data from the CMS NPPES public registry.