LAKELAND SURGICAL CLINIC PLLC
NPI 1649499740
Specialist in Jackson, MS

Active since April 25, 2007
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: October 18, 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 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
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

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

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 Surgical Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Lakeland Surgical Clinic PLLC, which bills Medicare for the services they deliver. Of these, 11 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

General Surgery9
Nurse Practitioner4

Clinicians, nearest first (13)

General Surgery
NPI 1255658589
971 LAKELAND DR
Jackson, MS 39216
(601) 982-3202
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1396253241
971 LAKELAND DR STE 1460
Jackson, MS 39216
(601) 982-3202
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1164956892
971 LAKELAND DR STE 1460
Jackson, MS 39216
(601) 588-9231
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1295834166
971 LAKELAND DR STE 1460
Jackson, MS 39216
(601) 982-3202
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1568563385
971 LAKELAND DRIVE SUITE 1460
Jackson, MS 39216
(601) 982-3202
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1679562730
971 LAKELAND DR STE 750
Jackson, MS 39216
(601) 200-5790
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1447350152
971 LAKELAND DR STE 1460
Jackson, MS 39216
(601) 982-3202
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1194395020
969 LAKELAND DR
Jackson, MS 39216
(601) 200-6880
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1467551341
971 LAKELAND DR STE 1460
Jackson, MS 39216
(601) 982-3202
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1972124964
971 LAKELAND DR STE 1460
Jackson, MS 39216
(601) 982-3202
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1356440234
971 LAKELAND DR STE 1460
Jackson, MS 39216
(601) 982-3202
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1134558653
156 RIVER OAKS DR SUITE A
Canton, MS 39046
(601) 855-5287
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1679194948
1103 KALISTE SALOOM RD STE 304
Lafayette, LA 70508
(337) 988-5646
✔ PECOS✔ Accepts Medicare185 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 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.

Is Lakeland Surgical Clinic PLLC enrolled in Medicare?

Yes. Lakeland Surgical Clinic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lakeland Surgical Clinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 2 Medicare specialties reassign their Medicare billing to Lakeland Surgical 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. The largest specialties are General Surgery (9) and Nurse Practitioner (4). Of these, 11 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lakeland Surgical Clinic PLLC accept?

Health plans from Cigna Healthcare and Molina Healthcare 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.