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LAKELAND SURGICAL CLINIC PLLC
NPI 1649499740
Specialist in Jackson, MS

Active since April 25, 2007CLIA 25D0691288 · Waiver
971 LAKELAND DR STE 1460, JACKSON, MS 39216(601) 982-3202(601) 982-3259 Get Directions Write a Review

NPPES record last updated: August 24, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lakeland Surgical Clinic Pllc NPPES

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

LAKELAND SURGICAL CLINIC PLLC (NPI 1649499740) is a healthcare organization registered as a specialist in Jackson, Mississippi and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Cathy Y Lofton, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1649499740
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLAKELAND SURGICAL CLINIC PLLC
Location Address971 LAKELAND DR STE 1460Jackson, MS 39216-4621
Mailing Address971 Lakeland Dr Ste 1460Jackson, MS 39216-4621 · (601) 982-3202 · Fax (601) 982-3259
Phone(601) 982-3202
Fax(601) 982-3259
Organization SubpartNo
Authorized OfficialCathy Y LoftonOffice Manager · (601) 982-3202
Enumeration DateApril 25, 2007
Last NPPES UpdateAugust 24, 2011
✔ NPI 1649499740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

971 LAKELAND DR STE 1460, Jackson, MS 39216
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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 25D0691288

Lakeland Surgical Clinic · Jackson, MS
Active · expires Aug 31, 2026
CLIA Number25D0691288
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorRichard L. Yelverton
Laboratory Phone(601) 982-3202
Laboratory LocationLakeland Surgical Clinic971 Lakeland Drive Suite 1460, Jackson, MS 39216
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 11

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

KELSEY A NORTH PA-C
Physician Assistant
971 LAKELAND DR STE 1460
JACKSON, MS 39216
Hinds County (513) 708-4211
DR. CASEY CHINN HAWES M.D.
Surgery
971 LAKELAND DR STE 1460
JACKSON, MS 39216
Hinds County (601) 588-9231
DR. FRANK R BRIGGS M.D.
Specialist
971 LAKELAND DR STE 1460
JACKSON, MS 39216
Hinds County (601) 982-3202
DR. RICHARD L YELVERTON JR. M.D.
Specialist
971 LAKELAND DR STE 1460
JACKSON, MS 39216
Hinds County (601) 982-3202
DR. PATRICK H SCANLON JR. M.D.
Surgery
971 LAKELAND DR STE 1460
JACKSON, MS 39216
Hinds County (601) 982-3202
JUSTIN TAYLOR COX PA
Physician Assistant
971 LAKELAND DR STE 1460
JACKSON, MS 39216
Hinds County (601) 291-3318
JULIE GARDNER FNP
Nurse Practitioner (Family)
971 LAKELAND DR STE 1460
JACKSON, MS 39216
Hinds County (601) 982-3202
DR. JAMES KEVIN CHANDLER M.D.
Surgery
971 LAKELAND DR STE 1460
JACKSON, MS 39216
Hinds County (601) 982-3202

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 Surgical Clinic PLLC's NPI number?

The NPI number for Lakeland Surgical Clinic PLLC is 1649499740. It was assigned to this organization in the NPPES registry on April 25, 2007.

Where is Lakeland Surgical Clinic PLLC located?

Lakeland Surgical Clinic PLLC is located at 971 Lakeland Dr Ste 1460, Jackson, MS 39216. The listed phone number is (601) 982-3202.

What is Lakeland Surgical Clinic PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Lakeland Surgical Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0691288) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lakeland Surgical Clinic PLLC 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 Surgical Clinic PLLC 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 Surgical Clinic PLLC was last updated on August 24, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.