Organization Active NPI

Lindsay Clinic PA

  • Family Nurse Practitioner
  • Pontotoc, MS
National Provider Identifier
1386836732
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
LINDSAY CLINIC PA
Practice address
109 Highway 15 S
Pontotoc, MS 38863-2628
Phone
(662) 509-9934
Fax
(662) 509-9935
NPI assigned
Aug 9, 2007
Last updated
Mar 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Authorized official

Name
Patricia LindsayNPI 1285652412
Title
President
Phone
(662) 509-9934

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X MS Primary

Addresses

Primary practice location

109 Highway 15 S
Pontotoc, MS 38863-2628

Mailing address

PO Box 615
Pontotoc, MS 38863-0615
Phone (662) 509-9934

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071003000332 MS Part B Supplier - Clinic/Group Practice 7810082013 Receives reassigned benefits from 4 practitioners
Practice locations: Pontotoc, MS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D1072442Lindsay Clinic PA109 Highway 15 South, Pontotoc, MS 38863ComplianceOct 19, 2026

National Provider Directory

National Provider Directory

Locations

1757 State Road 178 W
Myrtle, MS 38650

1757 State Road 178 W
#A
Myrtle, MS 38650

109 Highway 15 S
Pontotoc, MS 38863
Phone (662) 308-5236

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1386836732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 615",
            "city": "PONTOTOC",
            "state": "MS",
            "postal_code": "388630615",
            "telephone_number": "662-509-9934",
            "fax_number": "662-509-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 HIGHWAY 15 S",
            "city": "PONTOTOC",
            "state": "MS",
            "postal_code": "388632628",
            "telephone_number": "662-509-9934",
            "fax_number": "662-509-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDSAY CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "LINDSAY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-509-9934"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontotoc, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.