Lindsay Clinic PA
Organization Active NPI Family Nurse Practitioner · Pontotoc, MS
NPI 1386836732 · NPPES record last updated Mar 19, 2013
Key facts
- NPI
- 1386836732
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 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
- Organization subpart
- No
Authorized official
- Name
- Patricia Lindsay
- Title
- President
- Phone
- (662) 509-9934
Practitioners 11
-
Cynthia Nicole Tindall, CFNP
-
Marlana Huffstatler, CFNP
-
Paula Decanter, FNP
-
Krista McNutt, FNP-C
-
Regan Watson Moore, FNP
-
Charles David Lowe Jr., P.T.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D1072442 | Lindsay Clinic PA | Compliance | Oct 19, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071003000332 | MS | Part B Supplier - Clinic/Group Practice | 7810082013 |
Receives reassigned benefits from 4 practitioners Practice locations: Pontotoc, MS |
National Provider Directory
Locations
1757 Highway 178 W
#A
Myrtle, MS 38650
Phone (662) 988-7041
1757 State Road 178 W
Myrtle, MS 38650
1757 State Road 178 W
#A
Myrtle, MS 38650
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | MS | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01028876 | Medicaid | MS |
Other providers in Pontotoc, MS
- Lynne Knight
- Lauren Elizabeth Laenen
- Lauderdale Medical Group PLLC
- Jessica Anne Lauderdale
- Life Seasons Counseling, LLC
- Patricia Anne Lindsay
- Melissa Guntharp Lindsey
- Hart Robbins Loftis
- Jennifer Dawn Lowery
- Jessica Maffett
All providers in Pontotoc, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.