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LAKELAND MEDICAL ASSOCIATES LLC
NPI 1639059314
Family Medicine in Flowood, MS

Active since September 04, 2025CLIA 25D2334088 · Waiver
140 DAUGHDRILL STA, FLOWOOD, MS 39232(601) 965-9400(601) 965-9418 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Lakeland Medical Associates Llc NPPES

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

LAKELAND MEDICAL ASSOCIATES LLC (NPI 1639059314) is a healthcare organization registered as a family medicine in Flowood, Mississippi and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through November 13, 2027 and lists Jackie Thompson, Coo/office Manager, as its authorized official.

NPPES Registry Identity

NPI1639059314
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLAKELAND MEDICAL ASSOCIATES LLC
Location Address140 DAUGHDRILL STAFlowood, MS 39232-8406
Mailing Address140 Daughdrill StaFlowood, MS 39232-8406 · (601) 965-9400 · Fax (601) 965-9418
Phone(601) 965-9400
Fax(601) 965-9418
Organization SubpartNo
Authorized OfficialJackie ThompsonCoo/office Manager · (601) 672-7352
Enumeration DateSeptember 4, 2025
Last NPPES UpdateSeptember 5, 2025
NPPES CertifiedSeptember 5, 2025
✔ NPI 1639059314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
140 DAUGHDRILL STA, 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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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 of Waiver 25D2334088

Lakeland Medical Associates LLC · Flowood, MS
Active · expires Nov 13, 2027
CLIA Number25D2334088
Laboratory TypePractitioner Other
Certificate Effective DateNovember 14, 2025
Certificate Expiration DateNovember 13, 2027
Laboratory DirectorJessica Tolar
Laboratory Phone(601) 965-9400
Laboratory LocationLakeland Medical Associates LLC140 Daughdrill Station, Flowood, MS 39232
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

CROSSROADS CONSULTING
Clinic/Center (Primary Care)
140 DAUGHDRILL STA
FLOWOOD, MS 39232
Rankin County (601) 573-7012
KAREN BEDELLS NP
Nurse Practitioner (Family)
140 DAUGHDRILL STA
FLOWOOD, MS 39232
Rankin County (601) 992-9790
RAPHA WELLNESS AND PRIMARY CARE, LLC
Clinic/Center (Primary Care)
140 DAUGHDRILL STA
FLOWOOD, MS 39232
Rankin County (601) 965-9400
VICTORIA HARRIS ACKER
Nurse Practitioner (Acute Care)
140 DAUGHDRILL STA
FLOWOOD, MS 39232
Rankin County (601) 573-7012
INTERNAL MEDICINE PRIMARY CARE PA
Internal Medicine
140 DAUGHDRILL STA
FLOWOOD, MS 39232
Rankin County (601) 519-0509

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 Medical Associates LLC's NPI number?

The NPI number for Lakeland Medical Associates LLC is 1639059314. It was assigned to this organization in the NPPES registry on September 4, 2025.

Where is Lakeland Medical Associates LLC located?

Lakeland Medical Associates LLC is located at 140 Daughdrill Sta, Flowood, MS 39232. The listed phone number is (601) 965-9400.

What is Lakeland Medical Associates LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Lakeland Medical Associates LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2334088) is associated with this NPI, valid through November 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lakeland Medical Associates LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Lakeland Medical 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 Lakeland Medical Associates LLC was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.