LAKELAND RADIOLOGISTS P A
NPI 1861428351
Radiology - Diagnostic Radiology in Jackson, MS
About Lakeland Radiologists P A NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKELAND RADIOLOGISTS P A (NPI 1861428351) is a healthcare organization registered as a diagnostic radiology in Jackson, Mississippi and active in the NPI registry since June 2006. The organization lists George Ehrhardt, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lakeland Radiologists P A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
40Medicare enrollment records show 40 clinicians reassign Medicare billing to Lakeland Radiologists P A, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 26 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 40Source: 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 Radiologists P A's NPI number?
The NPI number for Lakeland Radiologists P A is 1861428351. It was assigned to this organization in the NPPES registry on June 25, 2006.
Where is Lakeland Radiologists P A located?
Lakeland Radiologists P A is located at 969 Lakeland Dr, Jackson, MS 39216. The listed phone number is (601) 982-7878.
What is Lakeland Radiologists P A's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Lakeland Radiologists P A enrolled in Medicare?
Yes. Lakeland Radiologists P A is registered in the Medicare PECOS enrollment system.
When is Lakeland Radiologists P A's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Lakeland Radiologists P A?
According to the CMS Revalidation Reassignment List (October 2026 release), 40 clinicians in 4 Medicare specialties reassign their Medicare billing to Lakeland Radiologists P A. 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 Diagnostic Radiology (31), Interventional Radiology (6) and Nurse Practitioner (2). Of these, 4 practice at this address and 26 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Lakeland Radiologists P A accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Lakeland Radiologists P A 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 Radiologists P A was last updated on October 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.
# Lakeland Radiologists P A · NPI 1861428351
Diagnostic Radiology organization in Jackson, Mississippi. Organization record, active in the CMS NPPES registry since June 25, 2006.
## Identity
- **NPI:** 1861428351 (Entity type: Organization)
- **Enumerated:** June 25, 2006
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Organization subpart:** No
- **Authorized official:** George Ehrhardt, ADMINISTRATOR
## Practice location
- **Address:** 969 LAKELAND DR, Jackson, MS 39216-4606
- **Phone:** (601) 982-7878 · **Fax:** (706) 596-6704
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 40 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (31), Interventional Radiology (6), Nurse Practitioner (2); 4 practice at this address and 26 within 10 miles; [full list](https://npiprofile.com/npi/1861428351/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 17, 2026
- **Other identifiers:** Medicaid 09011377 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1861428351) · Data from the CMS NPPES public registry.