Individual provider Active NPI

Reese G Lindsey, DO

  • Family Medicine Physician
  • Lucedale, MS
National Provider Identifier
1669484515
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17581 Issued in MS
Practice address
859 Winter St
Lucedale, MS 39452-6603
Phone
(601) 947-3161
NPI assigned
Aug 12, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 17581 MS
Family Medicine Physician 207Q00000X 17581 MS Primary

Addresses

Primary practice location

859 Winter St
Lucedale, MS 39452-6603

Mailing address

502 Hillcrest Cir
Cleveland, MS 38732-2010
Phone (662) 402-2030

Other practice location 1

502 Hillcrest Cir
Cleveland, MS 38732-2010
Phone (662) 402-2030

Other identifiers 2

IdentifierTypeStateIssuer
159834003MedicaidAR
00125782MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AL2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040108000494 MS Practitioner - Family PracticePractitioner - Emergency Medicine 3870492770 Reassigns benefits to 6 organizations
I20250416001487 AL Practitioner - Family Practice 3870492770 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17581MSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
George Regional ER Physicians CurrentSince Apr 1, 2018 Accepting new patients
Ies Alabama PLLC Emergency Medicine CurrentSince Mar 4, 2025 Accepting new patients
South Sunflower County Hospital Current Accepting new patients
Community Medical Center Family Medicine Current Accepting new patients
Hancock Emergency Group LLC Emergency Medicine CurrentSince Jul 5, 2015 Accepting new patients
South Sunflower County Hospital Current Accepting new patients
Inpatient Physician Services CurrentSince Oct 1, 2021 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Dec 1, 2018 Accepting new patients
South Sunflower County Hospital Current Accepting new patients
Greene County Family Medical Clinic CurrentSince Apr 1, 2018 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Dec 1, 2018 Accepting new patients
South Sunflower County Hospital CurrentSince Apr 15, 2010 Accepting new patients
South Sunflower County Hospital CurrentSince Apr 15, 2010 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine Past Accepting new patients
United Emergency Services, Inc. Emergency Medicine Past Accepting new patients
Emcare Physician Providers, Inc. Emergency Medicine Past Accepting new patients
PHC-Cleveland LLC Past Accepting new patients
Delta Physician Practices Past Accepting new patients
Delta Medical Group Emergency Medicine Past Accepting new patients
Edward Kofi Lartevi MD PMC Emergency Medicine Past Accepting new patients

Locations

1613 N McKenzie St
Foley, AL 36535
Phone (251) 949-3400

149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600

121 E Baker St
Indianola, MS 38751
Phone (601) 887-3113

1017 Jackson Ave
Leakesville, MS 39451
Phone (601) 394-2820

859 Winter St
Lucedale, MS 39452
Phone (601) 766-4286

92 Ratliff St
#A
Lucedale, MS 39452
Phone (601) 947-4411

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

1008 Azalea Dr
Waynesboro, MS 39367
Phone (601) 509-2584

1130 Frontage Dr W
Wiggins, MS 39577
Phone (601) 716-8012

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBHCBA

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1669484515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 HILLCREST CIR",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322010",
            "telephone_number": "662-402-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 WINTER ST",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394526603",
            "telephone_number": "601-947-3161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "502 Hillcrest Cir",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "MS",
            "postal_code": "387322010",
            "country_code": "US",
            "telephone_number": "662-402-2030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINDSEY",
        "first_name": "REESE",
        "middle_name": "G",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "17581",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "17581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159834003",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00125782",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lucedale, MS

Sources for this page

Verify at the official NPI Registry.