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OCHSNER HEALTH CENTER- LAKE
NPI 1932478476
Clinic/Center - Rural Health in Lake, MS

Active since December 28, 2011CLIA 25D0705398 · Microscopy
24489 HIGHWAY 80, LAKE, MS 39092(601) 775-3264(601) 775-3097 Get Directions Write a Review

NPPES record last updated: April 21, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 22, 2022, Apr 19, 2022, Feb 23, 2018 and 1 more (4 updates tracked since 2017).

About Ochsner Health Center- Lake NPPES

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

OCHSNER HEALTH CENTER- LAKE (NPI 1932478476) is a healthcare organization registered as a rural health in Lake, Mississippi and active in the NPI registry since December 2011. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Don Larkin Kennedy, Regional Ceo, as its authorized official.

NPPES Registry Identity

NPI1932478476
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSCOTT REGIONAL MEDICAL CENTER, INC.
Location Address24489 HIGHWAY 80Lake, MS 39092-3511
Mailing AddressDept 3029 Po Box 1000Memphis, TN 38148-3029 · (601) 213-3010 · Fax (601) 213-3011
Phone(601) 775-3264
Fax(601) 775-3097
Organization SubpartNo
Authorized OfficialDon Larkin KennedyRegional Ceo · (601) 703-9614
Enumeration DateDecember 28, 2011
Last NPPES UpdateApril 21, 20234 updates tracked since enumeration
NPPES CertifiedApril 21, 2023
✔ NPI 1932478476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedMidwifeTaxonomy 176B00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
24489 HIGHWAY 80, Lake, MS 39092
Open in Google Maps ↗

Other Names 1

Doing Business AsOchsner Health Center- Lake

Other Identifiers 1

Medicaid006582041MS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 for Provider-Performed Microscopy Procedures (PPMP) 25D0705398

Ochsner Health Center - Lake · Lake, MS
Active · expires Aug 31, 2026
CLIA Number25D0705398
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorTina Mabry
Laboratory Phone(601) 775-3264
Laboratory LocationOchsner Health Center - Lake24489 Hwy 80, Lake, MS 39092
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

TINA U. MABRY FNP
Nurse Practitioner (Family)
24489 HIGHWAY 80
LAKE, MS 39092
Scott County (601) 775-3264

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 Scott Regional Medical Center, Inc.'s NPI number?

The NPI number for Scott Regional Medical Center, Inc. is 1932478476. It was assigned to this organization in the NPPES registry on December 28, 2011. The provider is doing business as Ochsner Health Center- Lake.

Where is Scott Regional Medical Center, Inc. located?

Scott Regional Medical Center, Inc. is located at 24489 Highway 80, Lake, MS 39092. The listed phone number is (601) 775-3264.

What is Scott Regional Medical Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Scott Regional Medical Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 25D0705398) 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 Scott Regional Medical Center, Inc. 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 2 other insurers list Scott Regional Medical Center, Inc. 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 Scott Regional Medical Center, Inc. was last updated on April 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.