Active NPI
Lausha Marie White, REGISTER NURSE
- Family Nurse Practitioner
- Port Gibson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 906396
- Practice address
- 88 Brady Ave
Port Gibson, MS 39150-2806 - Phone
- (601) 618-4115
- NPI assigned
- Aug 10, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 900891 | MS | |
| Family Nurse Practitioner | 363LF0000X | 906396 | MS | Primary |
Addresses
Primary practice location
88 Brady Ave
Port Gibson, MS 39150-2806
Mailing address
88 Brady Ave
Port Gibson, MS 39150-2806
Phone (601) 618-4115
Other names 1
- Lausha Marie Jefferson
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fast Pace Mississippi PLLC
Practice addresses (Care Compare)
46 SGT Prentiss Dr
Suite 101
Natchez, MS 39120-4754
Phone (601) 442-1900
50 Veterans Memorial Dr
Kosciusko, MS 39090-3424
Phone (662) 307-2884
508 Hwy 61 N
Natchez, MS 39120-9049
Phone (601) 861-1631
517 City Ave S
Ripley, MS 38663-2517
Phone (662) 587-8206
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 900891 | MS | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Fast Pace Mississippi, PLLC | Single Specialty | Current | Accepting new patients |
| Upperline Healthcare, PC | Single Specialty | Current | Accepting new patients |
| Fast Pace Mississippi, PLLC | Current | Accepting new patients |
Locations
2798 Pass Rd
Biloxi, MS 39531
Phone (228) 200-0340
760 Brookway Blvd
Brookhaven, MS 39601
Phone (601) 748-7270
1050 Highway 98 Byp
Columbia, MS 39429
Phone (601) 522-2095
3265 Highway 90
Gautier, MS 39553
Phone (228) 366-9136
7 Professional Pkwy
Ste 101
Hattiesburg, MS 39402
Phone (601) 781-1661
533 Lake St
Hazlehurst, MS 39083
Phone (601) 533-5253
1038 Northwest Ave
McComb, MS 39648
Phone (601) 730-7012
508 Highway 61 N
Natchez, MS 39120
Phone (601) 861-1631
517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206
2059 Highway 61 N
Vicksburg, MS 39183
Phone (601) 429-1144
451 Highway 90
Waveland, MS 39576
Phone (228) 400-0055
1130 Frontage Dr W
Wiggins, MS 39577
Phone (601) 716-8012
Organizations & group practices 5
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.
-
- General Practice Physician
- Natchez, MS
- NPI 1982634051
-
- Foot & Ankle Surgery Podiatrist
- Hoover, AL
- NPI 1538686498
MS, Single Specialty
-
- Rural Health Clinic/Center
- Kosciusko, MS
- NPI 1851050579
-
- Foot & Ankle Surgery Podiatrist
- Ocoee, FL
- NPI 1326906843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711324800000",
"number": "1114655883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 BRADY AVE",
"city": "PORT GIBSON",
"state": "MS",
"postal_code": "391502806",
"telephone_number": "601-618-4115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 BRADY AVE",
"city": "PORT GIBSON",
"state": "MS",
"postal_code": "391502806",
"telephone_number": "601-618-4115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "LAUSHA",
"middle_name": "MARIE",
"credential": "REGISTER NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-10",
"last_updated": "2024-03-25",
"certification_date": "2024-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "MS",
"license": "900891",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "906396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAUSHA",
"last_name": "JEFFERSON",
"middle_name": "MARIE",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Port Gibson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.