Individual provider Active NPI

Michelle Lai, M.D.

  • Internal Medicine Physician
  • Hattiesburg, MS
National Provider Identifier
1477676831
Registry record updated Apr 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20803 Issued in MS
Practice address
6855 Lincoln Road Ext
Ste 50
Hattiesburg, MS 39402-3271
Phone
(601) 336-7700
Fax
(888) 655-7513
NPI assigned
Apr 9, 2007
Last updated
Apr 8, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2013

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME98167 FL
Pediatrics Physician 208000000X ME98167 FL
Internal Medicine Physician 207R00000X A99890 CA
Pediatrics Physician 208000000X A99890 CA
Internal Medicine Physician 207R00000X 20803 MS Primary
Pediatrics Physician 208000000X 20803 MS

Addresses

Primary practice location

6855 Lincoln Road Ext
Ste 50
Hattiesburg, MS 39402-3271

Mailing address

6855 Lincoln Road Ext
Ste 50
Hattiesburg, MS 39402-3271
Phone (601) 336-7700

Other identifiers 6

IdentifierTypeStateIssuer
LUMBERTON - 1148998OtherMSWINDSOR HEALTH GROUP
452047551001OtherMSTRICARE
44449960P01OtherMSCIGNA
9665147OtherMSAETNA
03109592MedicaidMS
2918535OtherMSUNITED HEALTH CARE

Other names 1

  • Michelle Quynh CHI Lai-Velez Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2016 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A99890CAMDPediatrics Physician
ME98167FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Solace Health, PLLC CurrentSince Nov 3, 2012 Accepting new patients

Locations

6855 Lincoln Road Ext
Ste 50
Hattiesburg, MS 39402
Phone (601) 336-7700

Organizations & group practices 1

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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365379200000",
    "number": "1477676831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6855 LINCOLN ROAD EXT",
            "address_2": "STE 50",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394023271",
            "telephone_number": "601-336-7700",
            "fax_number": "888-655-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6855 LINCOLN ROAD EXT",
            "address_2": "STE 50",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394023271",
            "telephone_number": "601-336-7700",
            "fax_number": "888-655-7513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAI",
        "first_name": "MICHELLE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2013-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME98167",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME98167",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A99890",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A99890",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "20803",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "20803",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WINDSOR HEALTH GROUP",
            "identifier": "LUMBERTON - 1148998",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "452047551001",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "44449960P01",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9665147",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03109592",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2918535",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "LAI-VELEZ",
            "middle_name": "QUYNH CHI",
            "credential": "M. D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.