Lisa Annette Dement, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R803971 Issued in MS

Practice address

40128 Hamilton Rd
Hamilton, MS 39746-9686

Phone

(662) 369-2455

Fax

(662) 319-2125

NPI assigned

Jun 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16677/brand/1/csg/1/fhir/r4

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.

• Weekends Plus Urgent Care LLC

  • Clinic/Center
  • Columbus, MS
  • NPI 1639625411

  MS

  Medicare reassignment Care Compare group NPD
• Boa Vida Hospital of Aberdeen, Ms, LLC

  • Multi-Specialty Clinic/Center
  • Aberdeen, MS
  • NPI 1710405741

  MS

  Medicare reassignment
• Columbus Pulmonary Clinic

  • Pulmonary Disease Physician
  • Columbus, MS
  • NPI 1821268467
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Memorial Hospital - Golden Triangle Inc.

  • General Acute Care Hospital
  • Columbus, MS
  • NPI 1609830173

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Weekends Plus Urgent Care LLC 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• BMH-Golden Triangle Hospital, Columbus, MS, CCN 250100

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1619918521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1100",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391111100",
            "telephone_number": "601-849-6440",
            "fax_number": "601-849-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40128 HAMILTON RD",
            "city": "HAMILTON",
            "state": "MS",
            "postal_code": "397469686",
            "telephone_number": "662-369-2455",
            "fax_number": "662-319-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMENT",
        "first_name": "LISA",
        "middle_name": "ANNETTE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R803971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00123535",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amory Hma Physician Management, LLC
• Ana Bacallao-Cummings, FNP-C
• Boa Vida Hospital of Aberdeen, Ms, LLC
• Brianna Cooper, RDN, LD
• Cross Creek Redi Care
• Linda Garrett, FNP-C
• Bethany Lee Greco, CFNP
• Matthew Harris, FNP
• Veronica Renee Harrison
• Hometown Pharmacy LLC

• All providers in Hamilton, MS
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.