Active NPI
Lacy Perry
- Nurse Practitioner
- Batesville, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 901536
- Practice address
- 171 Lakewood Dr
1
Batesville, MS 38606-3011 - Phone
- (622) 655-0311
- NPI assigned
- Aug 9, 2016
- Last updated
- Dec 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 901536 | MS | Primary |
Addresses
Primary practice location
171 Lakewood Dr
1
Batesville, MS 38606-3011
Mailing address
171 Lakewood Dr
1
Batesville, MS 38606-3011
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1301 Sunset Dr
Suite E
Grenada, MS 38901-4103
Phone (662) 625-7191
141 Dr T T Lewis Circle
Charleston, MS 38921-2236
Phone (662) 647-5392
141 Dr TT Lewis Cir
Charleston, MS 38921-2400
Phone (662) 625-7176
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 901536 | MS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tallahatchie General Hospital | Current | Accepting new patients | |
| Redmed, LLC | Current | Accepting new patients | |
| Redmed, LLC | Current | Accepting new patients | |
| Tallahatchie General Hospital | Current | Accepting new patients | |
| Tallahatchie General Hospital | Current | Accepting new patients | |
| Tallahatchie General Hospital and Extended Care Facility | Past | Accepting new patients |
Locations
171 Lakewood Dr
Ste 1
Batesville, MS 38606
Phone (622) 655-0311
1301 Sunset Dr
Ste E
Grenada, MS 38901
Phone (662) 229-0069
12 Brookes Crossing
Pontotoc, MS 38863
Phone (662) 489-4044
Organizations & group practices 6
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.
-
- Critical Access Hospital
- Charleston, MS
- NPI 1679733497
-
- Durable Medical Equipment & Medical Supplies
- Oxford, MS
- NPI 1679305031
-
- Diagnostic Radiology Physician
- Charleston, MS
- NPI 1215267232
-
dba Holcomb Clinic
- Rural Health Clinic/Center
- Grenada, MS
- NPI 1932591468
-
dba Extended Care Facility
- Nursing Facility/Intermediate Care Facility
- Charleston, MS
- NPI 1659555761
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oxford, MS
- NPI 1053375576
-
dba Adoration Home Health Care Mississippi
- Home Health Agency
- Cleveland, MS
- NPI 1487639548
-
dba University of Mississippi Center - Grenada Psych
- Psychiatric Hospital
- Grenada, MS
- NPI 1083041917
-
dba University of Mississippi Center-Grenada
- General Acute Care Hospital
- Grenada, MS
- NPI 1558798603
-
- Critical Access Hospital
- Charleston, MS
- NPI 1679733497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672185600000",
"number": "1740734680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 LAKEWOOD DR",
"address_2": "1",
"city": "BATESVILLE",
"state": "MS",
"postal_code": "386063011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 LAKEWOOD DR",
"address_2": "1",
"city": "BATESVILLE",
"state": "MS",
"postal_code": "386063011",
"telephone_number": "622-655-0311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "LACY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-09",
"last_updated": "2022-12-28",
"certification_date": "2022-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "901536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Batesville, MS
- Panola Physician Group, LLC
- Panola Speech Therapy, LLC
- Donald Hudson Parnell Jr., MD
- Peter John Pattridge Jr., PHARM.D
- Bobbie Fay Payne, P T
- Shannon Perry
- Physician and Surgeons Hospital Group
- Physicians and Surgeons Hospital Group (Tri Lakes Medical Center)
- Physicians and Surgeons Hospital Group (Tri Lakes Medical Center Mental Health)
- Physicians and Surgeons Hospital Group (Tri Lakes Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.