Lacey Blakeney, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R872620 Issued in MS

Practice address

1002 Jefferson Street
Suite 450
Laurel, MS 39440-4327

Phone

(601) 428-0438

NPI assigned

Aug 6, 2014

Last updated

Oct 8, 2026By the provider in NPPES

Sex

Female

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

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Central Clinics, IncGroup PAC ID 4385876655, 117 clinicians

Covington County HospitalGroup PAC ID 4183517253, shared by 16 NPIs, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• South Central Reg Med Ctr Hospital, Laurel, MS, CCN 250058

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22789/brand/1/csg/1/fhir/r4
• Direct secure messaging: lacey.blakeney@direct.scrmc.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Central Clinics, Inc

  dba Ellisville Medical Clinic

  • Family Medicine Physician
  • Ellisville, MS
  • NPI 1801226287
  Medicare reassignment Care Compare group NPD
• Covington County Hospital

  dba CCH Clinic Seminary

  • Rural Health Clinic/Center
  • Seminary, MS
  • NPI 1134435498
  Medicare reassignment NPD
• Covington County Hospital

  dba Green Tree Family Medical Clinic

  • Rural Health Clinic/Center
  • Mount Olive, MS
  • NPI 1336447861
  Medicare reassignment NPD
• Covington County Hospital

  dba Family Care of Main Street

  • Rural Health Clinic/Center
  • Collins, MS
  • NPI 1518260330
  Medicare reassignment NPD
• Covington County Hospital

  dba CCH Clinic Family Medical

  • Rural Health Clinic/Center
  • Collins, MS
  • NPI 1598769044
  Medicare reassignment NPD
• Southern Women's Health, PLLC

  dba Women's Pavilion of South Mississippi

  • Obstetrics & Gynecology Physician
  • Hattiesburg, MS
  • NPI 1396795571
  Medicare reassignment NPD
• Covington County Hospital

  dba Family Care Express

  • Rural Health Clinic/Center
  • Collins, MS
  • NPI 1013205350
  NPD
• Green Tree Family Medical Clinic

  • Rural Health Clinic/Center
  • Mount Olive, MS
  • NPI 1770741191
  NPD
• South Central Clinics, Inc

  dba South Central Urgent Care

  • Rural Health Clinic/Center
  • Laurel, MS
  • NPI 1033903547
  NPD
• South Central Clinics, Inc

  dba South Central Urology Clinic

  • Urology Physician
  • Laurel, MS
  • NPI 1275705824
  NPD
• South Central Clinics, Inc,

  dba South Central Wound Care & Hyperbaric Medicine

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Laurel, MS
  • NPI 1598017196
  NPD
• Southern Women's Health, PLLC

  dba Women's Pavilion of South Mississippi

  • Rural Health Clinic/Center
  • Hattiesburg, MS
  • NPI 1548640642
  NPD

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

• South Central Regional Medical Center

  • General Acute Care Hospital
  • Laurel, MS
  • NPI 1619973542
  Care Compare affiliation

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1326457151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394410247",
            "telephone_number": "601-399-6169",
            "fax_number": "601-399-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 JEFFERSON STREET",
            "address_2": "SUITE 450",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404327",
            "telephone_number": "601-428-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKENEY",
        "first_name": "LACEY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R872620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David S Black, CMHT
• Blackwell Nursing Services LLC
• Dorita Jane Blair, APRN
• Thomas Harold Blake Jr., M.D.
• Danielle D. Blakeney, M. D.
• Ramsi D Blankenship, DO
• Blue Dot Medical, LLC (AdaptHealth)
• Robia S Bobbett, M.ED
• Laura Boleware, FNP-C
• Lisa K Bond, MD

• Family Nurse Practitioner in Laurel, MS
• Providers in Laurel, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; 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.

Verify at the official NPI Registry.