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

Active since March 29, 2023
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: November 01, 2026.

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

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 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 Cigna Healthcare, Molina Healthcare.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)

Lucedale Family Medical Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Lucedale Family Medical Clinic, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Norman Parnell, CFNP
Nurse Practitioner
NPI 1184961054
223 WINTER ST STE D
Lucedale, MS 39452
(601) 791-5012
✔ PECOS✔ Accepts MedicareSame address
Michael Parnell, NP
Nurse Practitioner
NPI 1750954327
610 PROVIDENCE PARK DR E BLDG 1
Mobile, AL 36695
(251) 639-5070
✔ PECOS✔ Accepts Medicare28 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 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.

Is Lucedale Family Medical Clinic enrolled in Medicare?

Yes. Lucedale Family Medical Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lucedale Family Medical Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Lucedale Family Medical Clinic. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lucedale Family Medical Clinic accept?

Health plans from Cigna Healthcare and Molina Healthcare 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.