Individual provider Active NPI

Stephanie Rachelle Lumpkin-Freeman, FNP-C

  • Family Nurse Practitioner
  • Picayune, MS
National Provider Identifier
1407301237
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R901595 Issued in MS
Practice address
1911 Read Rd
Picayune, MS 39466-2730
Phone
(601) 251-3500
Fax
(601) 251-3504
NPI assigned
Aug 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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 R901595 MS Primary

Addresses

Primary practice location

1911 Read Rd
Picayune, MS 39466-2730

Mailing address

PO Box 1729
Hattiesburg, MS 39403-1729
Phone (601) 545-8700

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
I20161003002465 MS Practitioner - Nurse Practitioner 9638466824 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RH Hospitalist Medicine of Highland Community LLCGroup PAC ID 8022451038, 15 clinicians

Practice addresses (Care Compare)

130 Highland Pkwy
Picayune, MS 39466-5574
Phone (601) 358-9400

Hospital & facility affiliations

  • Highland Community Hospital Hospital, Picayune, MS, CCN 250117

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hattiesburg Community Dental Center CurrentSince Aug 24, 2016 Accepting new patients
Hattiesburg High School and Community Clinic CurrentSince Aug 24, 2016 Accepting new patients
RH Hospitalist Medicine of Highland Community LLC CurrentSince Jan 1, 2025 Accepting new patients
Sumrall Family Health Center Current Accepting new patients

Locations

44 Brooklyn Janice Rd
Brooklyn, MS 39425
Phone (601) 582-1188

598 W 11th Ave
Lumberton, MS 39455
Phone (601) 736-4215

1911 Read Rd
Picayune, MS 39466
Phone (601) 251-3500

130 Highland Pkwy
Picayune, MS 39466
Phone (601) 358-9400

Organizations & group practices 4

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": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471824000000",
    "number": "1407301237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1729",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394031729",
            "telephone_number": "601-545-8700",
            "fax_number": "601-450-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 READ RD",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394662730",
            "telephone_number": "601-251-3500",
            "fax_number": "601-251-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUMPKIN-FREEMAN",
        "first_name": "STEPHANIE",
        "middle_name": "RACHELLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R901595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Picayune, MS

Sources for this page

Verify at the official NPI Registry.