Individual provider Active NPI

Lauren Mize

  • Nurse Practitioner
  • Madison, MS
National Provider Identifier
1598414765
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
905034 Issued in MS
Practice address
101 Avery CT
Madison, MS 39110-5014
Phone
(601) 573-9697
NPI assigned
Mar 23, 2022
Last updated
Mar 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 905034 MS Primary

Addresses

Primary practice location

101 Avery CT
Madison, MS 39110-5014

Mailing address

101 Avery CT
Madison, MS 39110-5014
Phone (601) 573-9697

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
I20230329003524 MS Practitioner - Nurse Practitioner 3476927625 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Mississippi School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Women's Health, PLLCGroup PAC ID 2567497985, 40 clinicians
McFatter Family Medical, LLCGroup PAC ID 0648678185, 8 clinicians

Practice addresses (Care Compare)

1020 River Oaks Dr
Suite 320
Flowood, MS 39232-9512
Phone (601) 936-1400

710 Highland Colony Pkwy
Suite a
Ridgeland, MS 39157-8701
Phone (601) 398-9886

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Women's Health, PLLC CurrentSince Oct 2, 2023 Accepting new patients
East Lakeland OB GYN Associates, P.a. CurrentSince Jun 27, 2023 Accepting new patients
Southern Women's Health, PLLC CurrentSince Oct 2, 2023 Accepting new patients
Oxford Clinic for Women, PLLC Current Accepting new patients
McFatter Family Medical, LLC CurrentSince Dec 1, 2022 Accepting new patients

Locations

1020 River Oaks Dr
Ste 320
Jackson, MS 39232
Phone (601) 932-2664

2610 S Lamar Blvd
Oxford, MS 38655
Phone (601) 932-5006

710 Highland Colony Pkwy
Ste A
Ridgeland, MS 39157
Phone (601) 398-9886

Interoperability endpoints

  • Direct secure messaging: lauren.mize.1@28954.direct.athenahealth.com

Organizations & group practices 5

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.

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": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1598414765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 AVERY CT",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391105014",
            "telephone_number": "601-573-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 AVERY CT",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391105014",
            "telephone_number": "601-573-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZE",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "905034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, MS

Sources for this page

Verify at the official NPI Registry.