Individual provider Active NPI

Lucy M Barnes, FNP-C

  • Family Nurse Practitioner
  • Meridian, MS
National Provider Identifier
1659971380
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
904202 Issued in MS
Practice address
4555 35TH Ave
Meridian, MS 39305-2544
Phone
(601) 207-2017
Fax
(601) 207-1227
NPI assigned
Oct 30, 2020
Last updated
Mar 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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 904202 MS Primary

Addresses

Primary practice location

4555 35TH Ave
Meridian, MS 39305-2544

Mailing address

4820 Poplar Springs Dr.
Ste. a, PMB 191
Meridian, MS 39305-2678
Phone (601) 207-2017

Other practice location 1

557 Grants Ferry Rd
Brandon, MS 39047-9023
Phone (601) 665-4162

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
I20210505000068 MS Practitioner - Nurse Practitioner 9638588692 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4555 35TH Ave
Meridian, MS 39305-2544
Phone (601) 880-3402

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Health With Kelly LLC CurrentSince Feb 1, 2023 Accepting new patients
MDB Behavioral Health Services LLC CurrentSince Feb 18, 2024 Accepting new patients
Drclm CurrentSince Apr 1, 2025 Accepting new patients

Locations

557 Grants Ferry Rd
Brandon, MS 39047
Phone (601) 207-2017

215 Katherine Dr
#A
Jackson, MS 39232

2011 23rd Ave
Meridian, MS 39301
Phone (601) 286-5983

2514 67th Avenue Loop
Meridian, MS 39307
Phone (601) 553-0707

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1604016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1659971380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 POPLAR SPRINGS DR.",
            "address_2": "STE. A, PMB 191",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393052678",
            "telephone_number": "601-207-2017",
            "fax_number": "601-207-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 35TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393052544",
            "telephone_number": "601-207-2017",
            "fax_number": "601-207-1227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "557 Grants Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "MS",
            "postal_code": "390479023",
            "country_code": "US",
            "telephone_number": "601-665-4162",
            "fax_number": "855-830-3484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNES",
        "first_name": "LUCY",
        "middle_name": "M",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-30",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.