Individual provider Active NPI

Lucy M Limaylla, M.D.

  • Family Medicine Physician
  • Greenville, MS
National Provider Identifier
1730139775
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
T-00514 Issued in KS
Practice address
107 Bayou Rd
Greenville
Greenville, MS 38701-7702
Phone
(662) 403-8579
Fax
(601) 272-3434
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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 0431907 KS
Family Medicine Physician 207Q00000X T-00514 KS Primary

Addresses

Primary practice location

107 Bayou Rd
Greenville
Greenville, MS 38701-7702

Mailing address

107 Bayou Rd
Greenville
Greenville, MS 38701-7702
Phone (662) 403-8579

Other practice location 1

2124 14th St
Meridian, MS 39301-4040
Phone (601) 553-6000

Other identifiers 1

IdentifierTypeStateIssuer
200384430HMedicaidKS

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080416000445 MS Practitioner - Emergency MedicinePractitioner - Family Practice 9133131790 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Services of Meridian IncGroup PAC ID 7315285376, 12 clinicians
Bear Creek Emergency Group LLCGroup PAC ID 8820587629, 33 clinicians
Grenada Emergency Group, LLCGroup PAC ID 2163854225, 37 clinicians

Practice addresses (Care Compare)

2124 14TH St
Meridian, MS 39301-4040
Phone (601) 553-6000

239 Bowling Green Rd
Lexington, MS 39095-5167
Phone (662) 834-1321

Hospital & facility affiliations

  • Anderson Regional Medical Center Hospital, Meridian, MS, CCN 250104
  • University of Mississippi Medical Center- Grenada Hospital, Grenada, MS, CCN 250168

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0431907KSMDEmergency Medicine Physician
T-00514KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Clinic of Meridian, P.a. Current Accepting new patients
Bear Creek Emergency Group LLC Emergency Medicine CurrentSince Dec 2, 2025 Accepting new patients
Grenada Emergency Group, LLC Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
Carr PLLC Emergency Medicine CurrentSince Feb 15, 2018 Accepting new patients
Medical Services of Meridian, Inc. Emergency Medicine CurrentSince Feb 15, 2019 Accepting new patients
Hancock Emergency Group LLC Emergency Medicine CurrentSince Aug 18, 2017 Accepting new patients
Anderson Physician Alliance, Inc CurrentSince Mar 1, 2025 Accepting new patients
Kings Daughters Medical Center Current Accepting new patients
Anderson Physician Alliance, Inc. Family Medicine CurrentSince Mar 1, 2025 Accepting new patients
App of Mississippi Ed, LLC Emergency Medicine CurrentSince Mar 12, 2018 Accepting new patients
Delta Physician Practices Past Accepting new patients

Locations

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

150 Reynoir St
Biloxi, MS 39530
Phone (228) 432-7817

350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500

427 Highway 51 N
Brookhaven, MS 39601
Phone (601) 833-6011

161 River Oaks Dr
Canton, MS 39046
Phone (601) 855-4000

960 Avent Dr
Grenada, MS 38901
Phone (662) 227-7000

1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000

239 Bowling Green Rd
Lexington, MS 39095
Phone (662) 834-1321

1600 22nd Ave
Meridian, MS 39301
Phone (601) 483-5322

2124 14th St
Meridian, MS 39301
Phone (601) 483-8811

4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000

2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001

Interoperability endpoints

  • Direct secure messaging: llimayllia15280@ummc.direct-ci.com

Organizations & group practices 11

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.

Hospital & facility affiliations 3

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1730139775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 BAYOU RD",
            "address_2": "GREENVILLE",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387017702",
            "telephone_number": "662-403-8579",
            "fax_number": "601-272-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 BAYOU RD",
            "address_2": "GREENVILLE",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387017702",
            "telephone_number": "662-403-8579",
            "fax_number": "601-272-3434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2124 14th St",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393014040",
            "country_code": "US",
            "telephone_number": "601-553-6000",
            "fax_number": "601-703-0124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIMAYLLA",
        "first_name": "LUCY",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "0431907",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "T-00514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200384430H",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MS

Sources for this page

Verify at the official NPI Registry.