Individual provider Active NPI

Lori Mize, FNP

  • Family Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1285129197
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902575 Issued in MS
Practice address
499 Gloster Creek VLG Ste D1
Tupelo, MS 38801
Phone
(662) 690-8007
NPI assigned
Jun 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 902575 MS Primary

Addresses

Primary practice location

499 Gloster Creek VLG Ste D1
Tupelo, MS 38801

Mailing address

PO Box 305
Smithville, MS 38870-0305
Phone (662) 651-4637

Other practice location 1

8324 Highway 15 N
Ecru, MS 38841-9749
Phone (662) 489-5613

Other practice location 2

1523 S Pontotoc Rd
Pontotoc, MS 38863-9382
Phone (662) 489-5941

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
I20180716002150 MS Practitioner - Nurse Practitioner 5698022143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Mississippi Medical Center, Inc.Group PAC ID 9931010600, 361 clinicians

Practice addresses (Care Compare)

408 Council Cir
Suite a
Tupelo, MS 38801-4949
Phone (662) 377-1130

Hospital & facility affiliations

  • North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Center, Inc. Family CurrentSince Jul 11, 2022 Accepting new patients
North Mississippi Medical Center Inc Current Accepting new patients
North Mississippi Medical Center Current Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Jul 11, 2022 Accepting new patients
Amory Surgery Clinic, PLLC Past Accepting new patients

Locations

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

408 Council Cir
Ste A
Tupelo, MS 38801
Phone (662) 377-1130

Interoperability endpoints

  • Direct secure messaging: lorimize@nmhs.medalliesdirect.net

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1285129197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 305",
            "city": "SMITHVILLE",
            "state": "MS",
            "postal_code": "388700305",
            "telephone_number": "662-651-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 GLOSTER CREEK VLG STE D1",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "38801",
            "telephone_number": "662-690-8007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8324 Highway 15 N",
            "address_purpose": "LOCATION",
            "city": "Ecru",
            "state": "MS",
            "postal_code": "388419749",
            "country_code": "US",
            "telephone_number": "662-489-5613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1523 S Pontotoc Rd",
            "address_purpose": "LOCATION",
            "city": "Pontotoc",
            "state": "MS",
            "postal_code": "388639382",
            "country_code": "US",
            "telephone_number": "662-489-5941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIZE",
        "first_name": "LORI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.