Lakeland Premier Women'S Clinic PLLC

Primary specialty

Gynecologic Oncology PhysicianTaxonomy code 207VX0201X

Legal business name

LAKELAND PREMIER WOMEN'S CLINIC PLLC

Practice address

2506 Lakeland Dr Ste 600
Flowood, MS 39232-7640

Phone

(601) 420-0141

NPI assigned

Oct 3, 2018

Organization subpart

No

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

Authorized official

Name

Rhonda Sullivan-Ford, MDNPI 1366543522

Title

MD/Owner

Phone

(601) 420-0141

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rhonda Kaye Sullivan-Ford, M.D.

  • Obstetrics & Gynecology Physician
  • Flowood, MS
  • NPI 1366543522

  MS

  Medicare reassignment Care Compare group Authorized official
• Temeka Lashon Johnson, M.D.

  • Obstetrics & Gynecology Physician
  • Flowood, MS
  • NPI 1306947577

  MS

  Medicare reassignment Care Compare group NPD
• Natasha N Hardeman, M.D.

  • Gynecology Physician
  • Flowood, MS
  • NPI 1104869148

  MS

  Medicare reassignment Care Compare group
• Sharon Ferguson, CFNP

  • Family Nurse Practitioner
  • MC Carley, MS
  • NPI 1780778506
  NPD

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538524800000",
    "number": "1457836637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 LAKELAND DR STE 600",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392327640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 LAKELAND DR STE 600",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392327640",
            "telephone_number": "601-420-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND PREMIER WOMEN'S CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-03",
        "last_updated": "2018-10-03",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN-FORD",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "601-420-0141",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeland Anesthesia, PLLC
• Lakeland Family Clinic PLLC
• Lakeland Home Program, LLC
• Lakeland Medical Associates LLC
• Lakeland Periodontics and Implants
• Lakeland Primary Care Clinic
• Carrie Landers, PHARM D
• Jeffrey T Laseter, M.D.
• Kristy Wagner Laster, LPC
• Scott C Layne, M.D.

• All providers in Flowood, MS
• Gynecologic Oncology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.