Lakeland Family Clinic PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

08447 Issued in MS

Legal business name

LAKELAND FAMILY CLINIC PLLC

Practice address

1000 Lakeland Square Ext
Suite 800
Flowood, MS 39232

Phone

(601) 939-9811

Fax

(601) 939-7272

NPI assigned

Apr 30, 2008

Last updated

Apr 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles H Williams, MDNPI 1952497422

Title

Owner

Phone

(601) 939-9811

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles H Williams, M.D.

  • Legal Medicine
  • Flowood, MS
  • NPI 1952497422
  Authorized official Same address or phone

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1669648614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 LAKELAND SQUARE EXT",
            "address_2": "SUITE 800",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "39232",
            "telephone_number": "601-939-9811",
            "fax_number": "601-939-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LAKELAND SQUARE EXT",
            "address_2": "SUITE 800",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "39232",
            "telephone_number": "601-939-9811",
            "fax_number": "601-939-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND FAMILY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-939-9811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "08447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lactation Specialty Services, LLC
• Destyn Kaley Ladner
• Rebecca Lynn Ladner, R.N.F.A.
• Thomas 'Emile' Lagarde, MD
• Lakeland Anesthesia, PLLC
• Lakeland Home Program, LLC (Fresenius Medical Care Lakeland Home Program)
• Lakeland Medical Associates LLC
• Lakeland Periodontics and Implants
• Lakeland Premier Women's Clinic PLLC
• Lakeland Primary Care Clinic

• Family Medicine Physician in Flowood, MS
• Providers in Flowood, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.