Lemichal Paul Anderson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1110 Clay St
Vicksburg, MS 39183-2912

Phone

(601) 738-5820

Fax

(601) 738-5083

NPI assigned

Jan 22, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Positive Pathways, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Vicksburg, MS
  • NPI 1801335492
  NPD (past)

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1265022339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 CLAY ST",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391832912",
            "telephone_number": "601-738-5820",
            "fax_number": "601-738-5083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 CLAY ST",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391832912",
            "telephone_number": "601-738-5820",
            "fax_number": "601-738-5083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "LEMICHAL",
        "middle_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amedisys Mississippi, LLC
• Amt Group LLC
• Emmarie Anderson-Flaggs
• Amy Anderson
• Heather M Anderson, PA-C
• Matthew Gordon Anderson, L.C.S.W.
• Peter Anderson Jr.
• Amanda Andrews
• Harris C Anthony Sr., OPTICIAN
• Linda Anthony

• Case Manager/Care Coordinator in Vicksburg, MS
• Providers in Vicksburg, MS by specialty
• Case Manager/Care Coordinator in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.