Active NPI
Mary Lindsey Lumley
- Psychiatric/Mental Health Nurse Practitioner
- Brookhaven, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 903751
- Practice address
- 620 Hwy 51
Brookhaven, MS 39601 - Phone
- (601) 823-2345
- NPI assigned
- Sep 1, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 903751 | MS | Primary |
Addresses
Primary practice location
620 Hwy 51
Brookhaven, MS 39601
Mailing address
1007 W Congress St
Brookhaven, MS 39601-2603
Phone (601) 833-9388
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201207000444 | MS | Practitioner - Nurse Practitioner | 3274944764 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Rawls Dr
Suite 900
McComb, MS 39648-2864
Phone (601) 684-8284
327 N Jackson St
Brookhaven, MS 39601-3041
Phone (601) 754-9411
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity Psychiatric Outpatient, LLC | Current | Accepting new patients | |
| Serenity Psychiatric Outpatient, LLC | Current | Accepting new patients | |
| Lumley Health Services LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Brain Group | Current | Accepting new patients | |
| Brain Group and Associates | Past | Accepting new patients | |
| Southern Primary Care PLLC | Past | Accepting new patients |
Locations
327 N Jackson St
Brookhaven, MS 39601
Phone (601) 754-9411
608 Delaware Ave
McComb, MS 39648
Phone (601) 324-3109
415 Marion Ave
McComb, MS 39648
Phone (601) 584-8700
300 Rawls Dr
Ste 900
McComb, MS 39648
Phone (601) 684-8284
Interoperability endpoints
- mary.lumley.1@3362.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Brookhaven, MS
- NPI 1497413330
MS, Psychiatric/Mental Health
-
- Clinical Social Worker
- Monroe, LA
- NPI 1578834198
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- McComb, MS
- NPI 1609669365
-
- Family Medicine Physician
- Brookhaven, MS
- NPI 1891083135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605139200000",
"number": "1093329633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1007 W CONGRESS ST",
"city": "BROOKHAVEN",
"state": "MS",
"postal_code": "396012603",
"telephone_number": "601-833-9388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 HWY 51",
"city": "BROOKHAVEN",
"state": "MS",
"postal_code": "39601",
"telephone_number": "601-823-2345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUMLEY",
"first_name": "MARY",
"middle_name": "LINDSEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-01",
"last_updated": "2020-11-12",
"certification_date": "2020-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MS",
"license": "903751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookhaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.