Lamonice Marie McCullom, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

907308 Issued in MS

Practice address

451 Highway 90
Waveland, MS 39576-2507

Phone

(228) 400-0055

NPI assigned

Mar 25, 2025

Last updated

Mar 25, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fast Pace Mississippi PLLCGroup PAC ID 3678832029, 192 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ochsner Medical Center-Hancock Hospital, Bay Saint Louis, MS, CCN 250162

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Ripley, MS
  • NPI 1447769559

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Hoover, AL
  • NPI 1538686498

  MS, Nurse Practitioner

  Medicare reassignment NPD
• Beawell Integrated Health LLC

  • Family Nurse Practitioner
  • Biloxi, MS
  • NPI 1356286405
  NPD Authorized official
• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Kosciusko, MS
  • NPI 1851050579
  NPD
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Ocoee, FL
  • NPI 1326906843
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ochsner Medical Center - Hancock LLC

  dba Ochsner Medical Center - Hancock

  • General Acute Care Hospital
  • Bay Saint Louis, MS
  • NPI 1588629968
  Care Compare affiliation

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1760284483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10580 STEEPLECHASE DR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034279",
            "telephone_number": "228-224-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 HIGHWAY 90",
            "city": "WAVELAND",
            "state": "MS",
            "postal_code": "395762507",
            "telephone_number": "228-400-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOM",
        "first_name": "LAMONICE",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "907308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree Lewis, PCCSS
• Kellie A Lutz, PHARM D
• Amy Ruth Lynch, M.A.
• Rachelle Ann Magee
• Tiffany Anne Mazzoli
• Momentum Medical Services, LLC
• Thomas Beatty Murphree Jr., D.D.S.
• Annie Thi Nguyen
• Khanh Nguyen
• Thanh N Nguyen

• Nurse Practitioner in Waveland, MS
• Providers in Waveland, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.

Verify at the official NPI Registry.