Stephanie Nix Lentz, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

180B Debuys Rd Ste 203
Biloxi, MS 39531

Phone

(228) 273-4096

Fax

(228) 594-1765

NPI assigned

Mar 1, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Singing River Health System

  • Multi-Specialty Clinic/Center
  • Gautier, MS
  • NPI 1083893937
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1063872349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4594",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395354594",
            "telephone_number": "228-273-4096",
            "fax_number": "228-594-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180B DEBUYS RD STE 203",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "39531",
            "telephone_number": "228-273-4096",
            "fax_number": "228-594-1765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4250 S Eason Blvd",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388016549",
            "country_code": "US",
            "telephone_number": "662-377-5999",
            "fax_number": "662-377-5260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LENTZ",
        "first_name": "STEPHANIE",
        "middle_name": "NIX",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-01",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06935861",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunny R Lee, LCSW
• Sydney Smith Lee, AU.D.
• Laquinta K Legania
• Henry Theodore Leis, M.D.
• Valerie R. Lenox, M.D.
• Nancy R Letort, REGISTERED DIETITIAN
• Joseph Tyler Leverett, D.D.S.
• Kenneth Allen Levin, DMD
• Altamic Lewis
• Anita Karen Lewis, MS,RD,LD

• Physician Assistant in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Physician Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.