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

Active since September 04, 2025
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: November 08, 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 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

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

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Lakeland Medical Associates LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Karen Bedells, NP
Nurse Practitioner
NPI 1063898633
140 DAUGHDRILL STA
Flowood, MS 39232
(601) 992-9790
✔ PECOS✔ Accepts MedicareSame address
Jessica Tolar, FNP-C
Nurse Practitioner
NPI 1326689662
970 LAKELAND DR
Jackson, MS 39216
(601) 982-7850
✔ PECOS✔ Accepts Medicare5.4 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 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.

Is Lakeland Medical Associates LLC enrolled in Medicare?

Yes. Lakeland Medical Associates LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lakeland Medical Associates LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Lakeland Medical 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 14 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.