Individual provider Active NPI

Lillian Kelly Barnett, FNP

  • Family Nurse Practitioner
  • Poplarville, MS
National Provider Identifier
1821578097
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902735 Issued in MS
Practice address
305 W Moody St
Poplarville, MS 39470-7338
Phone
(601) 795-0659
Fax
(601) 579-5240
NPI assigned
Aug 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 902735 MS
Family Nurse Practitioner 363LF0000X 902735 MS Primary

Addresses

Primary practice location

305 W Moody St
Poplarville, MS 39470-7338

Mailing address

305 W Moody St
Poplarville, MS 39470-7338
Phone (601) 240-2070

Other identifiers 1

IdentifierTypeStateIssuer
08322009MedicaidMS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lbarnett77208@directpatientrecord.com Health Information Exchange (HIE)

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181127000250 MS Practitioner - Nurse Practitioner 4183978455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forrest County General HospitalGroup PAC ID 1052397767, 107 clinicians

Practice addresses (Care Compare)

305 W Moody St
Pearl River County Hospital
Poplarville, MS 39470-7338
Phone (601) 795-4543

Hospital & facility affiliations

  • Pearl River County Hospital Hospital, Poplarville, MS, CCN 251333
  • Highland Community Hospital Hospital, Picayune, MS, CCN 250117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
902735MSMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Forrest County General Hospital CurrentSince Jan 23, 2021 Accepting new patients
Hogan Surgical Center PA Current Accepting new patients
Forrest County General Hospital CurrentSince Jan 23, 2021 Accepting new patients
Forrest County General Hospital Current Accepting new patients
Hogan Surgical Center, P. a. - Crna Services Current Accepting new patients

Locations

2117 Broadway Dr
Hattiesburg, MS 39402
Phone (601) 288-8050

6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690

305 W Moody St
Poplarville, MS 39470
Phone (601) 795-4345

Organizations & group practices 5

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 2

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": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1821578097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W MOODY ST",
            "city": "POPLARVILLE",
            "state": "MS",
            "postal_code": "394707338",
            "telephone_number": "601-240-2070",
            "fax_number": "601-795-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W MOODY ST",
            "city": "POPLARVILLE",
            "state": "MS",
            "postal_code": "394707338",
            "telephone_number": "601-795-0659",
            "fax_number": "601-579-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNETT",
        "first_name": "LILLIAN",
        "middle_name": "KELLY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-17",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "902735",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08322009",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lbarnett77208@directpatientrecord.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1407 S Main St",
            "city": "Poplarville",
            "state": "MS",
            "country_code": "US",
            "postal_code": "394703369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Poplarville, MS

Sources for this page

Verify at the official NPI Registry.