Active NPI
Nathaniel O. Lawson, M.D.
- Neurology Physician
- Ridgeland, MS
National Provider Identifier
1780615633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 15958
- Practice address
- 135 Bridgewater Xing
Ridgeland, MS 39157-8602 - Phone
- (601) 594-6934
- Fax
- (601) 853-7623
- NPI assigned
- Jul 6, 2006
- Last updated
- Mar 15, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 15958 | MS | Primary |
Addresses
Primary practice location
135 Bridgewater Xing
Ridgeland, MS 39157-8602
Mailing address
135 Bridgewater Xing
Ridgeland, MS 39157-8602
Phone (601) 594-6934
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 391007 | Medicaid | SC | |
| 0121949 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vicksburg Clinic LLC | Neurology | Past | Accepting new patients |
| University Neurology Group, PLLC | Neurology | Past | Accepting new patients |
| Vicksburg Clinic LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
dba CNEDx
- Medical Specialty Clinic/Center
- Ridgeland, MS
- NPI 1912233701
-
- Neurology Physician
- Jackson, MS
- NPI 1770599110
-
- Family Medicine Physician
- Vicksburg, MS
- NPI 1790711158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458000000000",
"number": "1780615633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 BRIDGEWATER XING",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391578602",
"telephone_number": "601-594-6934",
"fax_number": "601-853-7623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 BRIDGEWATER XING",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391578602",
"telephone_number": "601-594-6934",
"fax_number": "601-853-7623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWSON",
"first_name": "NATHANIEL",
"middle_name": "O.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2016-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MS",
"license": "15958",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "391007",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0121949",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ridgeland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.