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LAKELAND PREMIER WOMEN'S CLINIC PLLC
NPI 1457836637
Obstetrics & Gynecology - Gynecologic Oncology in Flowood, MS

Active since October 03, 2018CLIA 25D2160913 · Waiver
2506 LAKELAND DR STE 600, FLOWOOD, MS 39232(601) 420-0141 Get Directions Write a Review

NPPES record last updated: October 3, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lakeland Premier Women's Clinic Pllc NPPES

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

LAKELAND PREMIER WOMEN'S CLINIC PLLC (NPI 1457836637) is a healthcare organization registered as a gynecologic oncology in Flowood, Mississippi and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through February 19, 2027 and lists Rhonda Sullivan-ford, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1457836637
Entity TypeOrganization
Primary Taxonomy207VX0201X
Legal Business NameLAKELAND PREMIER WOMEN'S CLINIC PLLC
Location Address2506 LAKELAND DR STE 600Flowood, MS 39232-7640
Mailing Address2506 Lakeland Dr Ste 600Flowood, MS 39232-7640
Phone(601) 420-0141
Organization SubpartNo
Authorized OfficialRhonda Sullivan-fordMd/owner · (601) 420-0141
Enumeration DateOctober 3, 2018
✔ NPI 1457836637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
2506 LAKELAND DR STE 600, Flowood, MS 39232
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lakeland Premier Women's Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Lakeland Premier Women's Clinic PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Natasha Hardeman, M.D.
Obstetrics/Gynecology
NPI 1104869148
2506 LAKELAND DR STE 600
Flowood, MS 39232
(601) 939-1600
✔ PECOS✔ Accepts MedicareSame address
Temeka Johnson, M.D.
Obstetrics/Gynecology
NPI 1306947577
2506 LAKELAND DR STE 600
Flowood, MS 39232
(601) 939-1600
✔ PECOS✔ Accepts MedicareSame address
Rhonda Sullivan-Ford, M.D.
Obstetrics/Gynecology
NPI 1366543522
2506 LAKELAND DR STE 600
Flowood, MS 39232
(601) 939-1600
✔ 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 25D2160913

Lakeland Premier Women's Clinic PLLC · Flowood, MS
Active · expires Feb 19, 2027
CLIA Number25D2160913
Laboratory TypePhysician Office
Certificate Effective DateFebruary 20, 2025
Certificate Expiration DateFebruary 19, 2027
Laboratory DirectorBriana Moore
Laboratory Phone(601) 959-1600
Laboratory LocationLakeland Premier Women's Clinic PLLC2506 Lakeland Dr Ste 600, Flowood, MS 39232
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 Lakeland Premier Women's Clinic PLLC's NPI number?

The NPI number for Lakeland Premier Women's Clinic PLLC is 1457836637. It was assigned to this organization in the NPPES registry on October 3, 2018.

Where is Lakeland Premier Women's Clinic PLLC located?

Lakeland Premier Women's Clinic PLLC is located at 2506 Lakeland Dr Ste 600, Flowood, MS 39232. The listed phone number is (601) 420-0141.

What is Lakeland Premier Women's Clinic PLLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Lakeland Premier Women's Clinic PLLC enrolled in Medicare?

Yes. Lakeland Premier Women's Clinic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lakeland Premier Women's Clinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Obstetrics/Gynecology, reassign their Medicare billing to Lakeland Premier Women's Clinic 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Lakeland Premier Women's Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2160913) is associated with this NPI, valid through February 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lakeland Premier Women's Clinic PLLC was last updated on October 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.