Individual provider Active NPI

Lauren Michelle Person

  • Family Nurse Practitioner
  • Hernando, MS
National Provider Identifier
1326527300
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
903048 Issued in MS
Practice address
2416 Mount Pleasant Rd
Hernando, MS 38632-2001
Phone
(662) 560-5960
Fax
(662) 560-5969
NPI assigned
Aug 9, 2018
Last updated
Oct 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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 903048 MS Primary

Addresses

Primary practice location

2416 Mount Pleasant Rd
Hernando, MS 38632-2001

Mailing address

2778 Highway 51 S
Senatobia, MS 38668-9403
Phone (662) 560-5960

Other practice location 1

2778 Highway 51 S
Senatobia, MS 38668-9403
Phone (662) 560-5960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181022003517 TN Practitioner - Nurse Practitioner 1153674023 Reassigns benefits to 1 organization
I20190719001217 MS Practitioner - Nurse Practitioner 1153674023 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24594TNMDRegistered Nurse
903048MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Family Medical, LLC Current Accepting new patients
The Little Clinic of Tennessee LLC Family CurrentSince Aug 21, 2018 Accepting new patients
Archipoimen PLLC CurrentSince Aug 30, 2022 Accepting new patients

Locations

2416 Mount Pleasant Rd
Hernando, MS 38632
Phone (662) 298-3181

2670 McIngvale Rd
Ste H
Hernando, MS 38632
Phone (662) 429-4988

3444 Plaza Ave
Memphis, TN 38111
Phone (901) 324-1013

7735 Farmington Blvd
Memphis, TN 38138
Phone (901) 754-5124

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

Interoperability endpoints

  • Direct secure messaging: lauren.person.1@17263.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1326527300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2778 HIGHWAY 51 S",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386689403",
            "telephone_number": "662-560-5960",
            "fax_number": "662-560-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 MOUNT PLEASANT RD",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386322001",
            "telephone_number": "662-560-5960",
            "fax_number": "662-560-5969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2778 Highway 51 S",
            "address_purpose": "LOCATION",
            "city": "Senatobia",
            "state": "MS",
            "postal_code": "386689403",
            "country_code": "US",
            "telephone_number": "662-560-5960",
            "fax_number": "662-560-5969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERSON",
        "first_name": "LAUREN",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hernando, MS

Sources for this page

Verify at the official NPI Registry.