LUMLEY HEALTH SERVICES LLC
NPI 1497413330
Nurse Practitioner - Psychiatric/Mental Health in Brookhaven, MS

Active since December 07, 2021
106 BRADY DR, BROOKHAVEN, MS 39601(601) 754-9411 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 4, 2024, Dec 7, 2021 (2 updates tracked since 2021).

About Lumley Health Services Llc NPPES

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

LUMLEY HEALTH SERVICES LLC (NPI 1497413330) is a healthcare organization registered as a psychiatric/mental health in Brookhaven, Mississippi and active in the NPI registry since December 2021. The organization lists Missi Robinson, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1497413330
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLUMLEY HEALTH SERVICES LLC
Location Address106 BRADY DRBrookhaven, MS 39601-3738
Mailing Address327 N Jackson StBrookhaven, MS 39601-3041 · (601) 754-9411
Organization SubpartNo
Authorized OfficialMissi RobinsonCredentialing Specialist · (601) 248-7135
Enumeration DateDecember 7, 2021
Last NPPES UpdateApril 4, 20242 updates tracked since enumeration
NPPES CertifiedApril 4, 2024
✔ NPI 1497413330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
106 BRADY DR, Brookhaven, MS 39601

Other Identifiers 1

Medicaid02232862MS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lumley Health Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 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.

StateEnrollment IDDue date
StateMississippiEnrollment IDO20211222000575Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lumley Health Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1093329633
620 HWY 51
Brookhaven, MS 39601
(601) 823-2345
✔ PECOS✔ Accepts Medicare0.3 mi

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 Lumley Health Services LLC's NPI number?

The NPI number for Lumley Health Services LLC is 1497413330. It was assigned to this organization in the NPPES registry on December 7, 2021.

Where is Lumley Health Services LLC located?

Lumley Health Services LLC is located at 106 Brady Dr, Brookhaven, MS 39601. The listed phone number is (601) 754-9411.

What is Lumley Health Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lumley Health Services LLC enrolled in Medicare?

Yes. Lumley Health Services LLC is registered in the Medicare PECOS enrollment system.

When is Lumley Health Services LLC'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 March 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 Lumley Health Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Lumley Health Services 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.

When was this NPI record last updated?

The NPPES record for Lumley Health Services LLC was last updated on April 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.