NPIMap

Organization Active NPI

Lyndsay R Shipp MD PLLC

  • Clinic/Center
  • Oxford, MS
National Provider Identifier
1669879532
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LYNDSAY R SHIPP MD PLLC
Practice address
705 Sisk Ave Ste 105
Oxford, MS 38655-3413
Phone
(662) 371-1326
Fax
(662) 236-5010
NPI assigned
Nov 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Authorized official

Name
Mrs. Jill Olmstead-McCraney
Title
Office Manager
Phone
(662) 371-1326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

705 Sisk Ave Ste 105
Oxford, MS 38655-3413

Mailing address

PO Box 1158
Oxford, MS 38655-1158
Phone (623) 711-3266

Other identifiers 1

IdentifierTypeStateIssuer
05408509MedicaidMS

National Provider Directory

National Provider Directory

Locations

2204 Jefferson Davis Dr
#R
Oxford, MS 38655
Phone (662) 236-6850

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1669879532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1158",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386551158",
            "telephone_number": "623-711-3266",
            "fax_number": "662-371-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 SISK AVE STE 105",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386553413",
            "telephone_number": "662-371-1326",
            "fax_number": "662-236-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNDSAY R SHIPP MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-20",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "OLMSTEAD-MCCRANEY",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "662-371-1326",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05408509",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.