Individual provider Active NPI

Mary Lindsey Lumley

  • Psychiatric/Mental Health Nurse Practitioner
  • Brookhaven, MS
National Provider Identifier
1093329633
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
903751 Issued in MS
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

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Serenity Psychiatric Outpatient, LLCGroup PAC ID 7911181805, 6 clinicians

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

OrganizationSpecialtyStatusNew patients
Serenity Psychiatric Outpatient, LLC CurrentSince Jun 18, 2021 Accepting new patients
Serenity Psychiatric Outpatient, LLC CurrentSince Jun 18, 2021 Accepting new patients
Lumley Health Services LLC Psychiatric/Mental Health CurrentSince Sep 1, 2021 Accepting new patients
Brain Group CurrentSince Feb 12, 2021 Accepting new patients
Brain Group and Associates PastSince Jun 3, 2025 Accepting new patients
Southern Primary Care PLLC PastSince Aug 29, 2011 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.