LAUDERDALE MEDICAL GROUP
NPI 1689456527
Clinic/Center - Primary Care in Pontotoc, MS
About Lauderdale Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAUDERDALE MEDICAL GROUP (NPI 1689456527) is a healthcare organization registered as a primary care in Pontotoc, Mississippi and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through February 26, 2028 and lists Jessica Anne Lauderdale, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted 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 25D2299820
Lauderdale Medical Group PLLC · Pontotoc, MSOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Lauderdale Medical Group PLLC's NPI number?
The NPI number for Lauderdale Medical Group PLLC is 1689456527. It was assigned to this organization in the NPPES registry on October 16, 2023. The provider is doing business as Lauderdale Medical Group.
Where is Lauderdale Medical Group PLLC located?
Lauderdale Medical Group PLLC is located at 11 E Jefferson St, Pontotoc, MS 38863. The listed phone number is (662) 419-1260.
What is Lauderdale Medical Group PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Lauderdale Medical Group PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2299820) is associated with this NPI, valid through February 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Lauderdale Medical Group 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 Lauderdale Medical Group 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 Lauderdale Medical Group PLLC was last updated on March 22, 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.
