Lakeland Primary Care Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LAKELAND PRIMARY CARE CLINIC

Practice address

1040 River Oaks Dr
Flowood, MS 39232-9530

Phone

(601) 664-9299

Fax

(601) 664-9267

NPI assigned

Sep 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. T. Emile Lagarde, M.D.

Title

Owner

Phone

(601) 664-9299

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas 'Emile' Lagarde, MD

  • Family Medicine Physician
  • Flowood, MS
  • NPI 1922049238
  Medicare reassignment NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235236340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 321016",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392321016",
            "telephone_number": "601-664-9299",
            "fax_number": "601-664-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 RIVER OAKS DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329530",
            "telephone_number": "601-664-9299",
            "fax_number": "601-664-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND PRIMARY CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAGARDE",
        "authorized_official_first_name": "T. EMILE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-664-9299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeland Family Clinic PLLC
• Lakeland Home Program, LLC (Fresenius Medical Care Lakeland Home Program)
• Lakeland Medical Associates LLC
• Lakeland Periodontics and Implants
• Lakeland Premier Women's Clinic PLLC
• Carrie Landers, PHARM D
• Jeffrey T Laseter, M.D.
• Kristy Wagner Laster, LPC
• Scott C Layne, M.D.
• Caleb Tyler Leach, CRNA

• Family Medicine Physician in Flowood, MS
• Providers in Flowood, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.