Lucedale Family Medical Clinic
NPI 1992409262ActiveOrganization· Family Medicine· Lucedale, MS
Family Medicine in Lucedale, Mississippi, registered in NPPES in March 2023. The authorized official on file is Bridgot Peters, Billing Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1992409262 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 29, 2023 |
| Last updated in NPPES | May 10, 2024 |
| Certified by provider | May 10, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
Other Family Medicine providers in Lucedale
- 1992059315
- 1205208790
- 1134558315
- 1831687953
- 1184136962
- 1982023149
- 1700269206
- 1598385767
- 1215976022
- 1487767281
- 1043420383
- 1669484515