LUCEDALE FAMILY MEDICAL CLINIC, LLC
NPI 1992409262
Family Medicine in Lucedale, MS

Q: What is Lucedale Family Medical Clinic's NPI number?

The NPI number for Lucedale Family Medical Clinic is 1992409262. It was assigned to this organization in the NPPES registry on March 29, 2023. The provider is also known as Lucedale Family Medical Clinic, LLC.

Q: What is Lucedale Family Medical Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since March 29, 2023CLIA 25D2279015 · Waiver

223 WINTER ST STE D, LUCEDALE, MS 39452(601) 791-5012(601) 791-5013 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 10, 2024, Apr 6, 2023, Mar 29, 2023 (3 updates tracked since 2023).

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About Lucedale Family Medical Clinic, Llc NPPES

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

LUCEDALE FAMILY MEDICAL CLINIC, LLC (NPI 1992409262) is a healthcare organization registered as a family medicine in Lucedale, Mississippi and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through March 27, 2027 and lists Bridgot Peters, Billing Director, as its authorized official.

NPPES Registry Identity

NPI1992409262

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameLUCEDALE FAMILY MEDICAL CLINIC

Location Address223 WINTER ST STE DLucedale, MS 39452-6078

Mailing Address6577 Creel RdTheodore, AL 36582-3857 · (251) 725-8455 · Fax (251) 445-3722

Phone(601) 791-5012

Fax(601) 791-5013

Organization SubpartNo

Authorized OfficialBridgot PetersBilling Director · (251) 445-7618

Enumeration DateMarch 29, 2023

Last NPPES UpdateMay 10, 20243 updates tracked since enumeration

NPPES CertifiedMay 10, 2024

✔ NPI 1992409262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

223 WINTER ST STE D, Lucedale, MS 39452

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Other Names 1

Other NameLucedale Family Medical Clinic, Llc

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 25D2279015

Lucedale Family Medical Clinic LLC · Lucedale, MS

Active · expires Mar 27, 2027

CLIA Number25D2279015

Laboratory TypePractitioner Other

Certificate Effective DateMarch 28, 2025

Certificate Expiration DateMarch 27, 2027

Laboratory DirectorNorman M. Parnell

Laboratory Phone(251) 680-7526

Laboratory LocationLucedale Family Medical Clinic LLC223 Winter St Ste D, Lucedale, MS 39452

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only 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.

NORMAN M PARNELL CFNP

Nurse Practitioner (Family)

223 WINTER ST STE D
LUCEDALE, MS 39452

George County (601) 791-5012

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 Lucedale Family Medical Clinic's NPI number?

The NPI number for Lucedale Family Medical Clinic is 1992409262. It was assigned to this organization in the NPPES registry on March 29, 2023. The provider is also known as Lucedale Family Medical Clinic, LLC.

Where is Lucedale Family Medical Clinic located?

Lucedale Family Medical Clinic is located at 223 Winter St Ste D, Lucedale, MS 39452. The listed phone number is (601) 791-5012.

What is Lucedale Family Medical Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Lucedale Family Medical Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2279015) is associated with this NPI, valid through March 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lucedale Family Medical Clinic 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 Lucedale Family Medical Clinic 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 Lucedale Family Medical Clinic was last updated on May 10, 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.