Individual provider Active NPI

Lisa B Elgin, NP

  • Family Nurse Practitioner
  • Aberdeen, MS
National Provider Identifier
1083655724
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R826442 Issued in MS
Practice address
403 S Chestnut St
Aberdeen, MS 39730-3334
Phone
(662) 369-9500
Fax
(662) 369-0260
NPI assigned
Jun 10, 2006
Last updated
Apr 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R826442 MS Primary

Addresses

Primary practice location

403 S Chestnut St
Aberdeen, MS 39730-3334

Mailing address

PO Box 1100
Magee, MS 39111-1100
Phone (662) 369-9500

Other practice location 1

2124 14th St
Meridian, MS 39301-4040
Phone (601) 553-6000

Other practice location 2

1102 Constitution Ave
Meridian, MS 39301-4001
Phone (601) 703-5000

Other identifiers 1

IdentifierTypeStateIssuer
01733711MedicaidMS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040525001459 MS Practitioner - Nurse Practitioner 3274514369 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Relias Emergency Medicine Specialists of Amory, LLCGroup PAC ID 4486088853, 27 clinicians
Relias Emergency Medicine Specialists of West Point, LLCGroup PAC ID 0042648594, 24 clinicians
Relias Hospitalist Medicine Specialists of West Point LLCGroup PAC ID 4688002322, 15 clinicians
Hospitalist Services of Meridian PAGroup PAC ID 3274818042, 41 clinicians
Dumont Physician Services LLCGroup PAC ID 6800385576, 44 clinicians
Grenada Emergency Group, LLCGroup PAC ID 2163854225, 37 clinicians
Relias Emergency Medicine Specialists of Tupelo LLCGroup PAC ID 6608179734, 39 clinicians

Practice addresses (Care Compare)

1105 Earl Frye Blvd
Amory, MS 38821-5500
Phone (662) 256-7111

150 Medical Ctr Dr
West Point, MS 39773-0428
Phone (662) 495-2300

2124 14TH St
Meridian, MS 39301-4040
Phone (601) 553-6000

239 Bowling Green Rd
Lexington, MS 39095-5167
Phone (662) 834-1321

830 S Gloster St
Tupelo, MS 38801-4934
Phone (662) 377-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R826442MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grenada Emergency Group, LLC CurrentSince Dec 11, 2023 Accepting new patients
Relias Emergency Medicine Specialists of Amory, LLC CurrentSince Jan 1, 2020 Accepting new patients
Relias Emergency Medicine Specialists of West Point, LLC CurrentSince Dec 9, 2020 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Anderson Physician Alliance, Inc CurrentSince Mar 1, 2025 Accepting new patients
Anderson Physician Alliance, Inc. CurrentSince Mar 1, 2025 Accepting new patients
United Emergency Services of Mississippi CurrentSince Jul 1, 2008 Accepting new patients
Pontotoc Health Services, Inc. Current Accepting new patients
Relias Hospitalist Medicine Specialists of West Point LLC CurrentSince Dec 9, 2020 Accepting new patients
Webster Health Services, Inc. CurrentSince Feb 18, 2020 Accepting new patients
Relias Emergency Medicine Specialists of Tupelo LLC CurrentSince May 1, 2019 Accepting new patients
Webster Health Services, Inc. CurrentSince Feb 18, 2020 Accepting new patients
Urology Clinic of Meridian, P.a. Current Accepting new patients
Pontotoc Health Services, Inc. CurrentSince Feb 18, 2020 Accepting new patients
Relias Hospitalist Medicine Specialists of Pontotoc LLC CurrentSince May 9, 2024 Accepting new patients
Dumont Physician Services LLC CurrentSince Jan 24, 2026 Accepting new patients
Webster Health Services, Inc. Current Accepting new patients
Diversified Nursing Services, Inc. Family Past Accepting new patients
Pioneer Health Services of Monroe County, Inc. Past Accepting new patients

Locations

1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111

2520 5th St N
Columbus, MS 39705
Phone (662) 224-1000

70 Medical Plz
Eupora, MS 39744
Phone (662) 258-6221

960 Avent Dr
Grenada, MS 38901
Phone (662) 227-7000

239 Bowling Green Rd
Lexington, MS 39095
Phone (662) 834-1321

1102 Constitution Ave
Meridian, MS 39301
Phone (601) 693-2511

1600 22nd Ave
Meridian, MS 39301
Phone (601) 483-5322

2124 14th St
Meridian, MS 39301
Phone (601) 483-8811

176 S Main St
Pontotoc, MS 38863
Phone (601) 489-5510

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

150 Medical Center Dr
West Point, MS 39773
Phone (601) 494-2321

Interoperability endpoints

  • Direct secure messaging: lelgin44603@direct.bmhcc.org
  • Direct secure messaging: lisa.elgin.1@23614.direct.athenahealth.com
  • Direct secure messaging: lisaelgin@nmhs.medalliesdirect.net

Organizations & group practices 20

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

View all 20

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1083655724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1100",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391111100",
            "telephone_number": "662-369-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 S CHESTNUT ST",
            "city": "ABERDEEN",
            "state": "MS",
            "postal_code": "397303334",
            "telephone_number": "662-369-9500",
            "fax_number": "662-369-0260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2124 14th St",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393014040",
            "country_code": "US",
            "telephone_number": "601-553-6000",
            "fax_number": "601-703-0124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1102 Constitution Ave",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393014001",
            "country_code": "US",
            "telephone_number": "601-703-5000",
            "fax_number": "601-703-0124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELGIN",
        "first_name": "LISA",
        "middle_name": "B",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R826442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01733711",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, MS

Sources for this page

Verify at the official NPI Registry.