Active NPI
Lacey Ann Gullick-Joiner, CNP
- Family Nurse Practitioner
- Batesville, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 877500
- Practice address
- 107 Eureka St
Batesville, MS 38606-2599 - Phone
- (662) 563-7681
- Fax
- (662) 563-8911
- NPI assigned
- Sep 9, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R877500 | MS | |
| Family Nurse Practitioner | 363LF0000X | 877500 | MS | Primary |
Addresses
Primary practice location
107 Eureka St
Batesville, MS 38606-2599
Mailing address
107 Eureka St
Batesville, MS 38606-2599
Phone (662) 563-7681
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151105000197 | MS | Practitioner - Nurse Practitioner | 8426368325 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Batesville Clinic, P.a.State of Mississippi - University of Mississippi Medical Center
Practice addresses (Care Compare)
107 Eureka St
Batesville, MS 38606-2533
Phone (662) 563-7681
107 Eureka St B
Ummc Medical Clinic Batesville
Batesville, MS 38606-2533
Phone (601) 815-2005
Hospital & facility affiliations
- University of Mississippi Medical Center- Grenada
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 877500 | MS | MD | Family Nurse Practitioner |
| R877500 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Batesville Clinic, P.a. | Current | Accepting new patients | |
| Downtown Family Clinic | Current | Accepting new patients | |
| Redmed, LLC | Current | Accepting new patients | |
| Redmed, LLC | Current | Accepting new patients |
Locations
107 Eureka St
Batesville, MS 38606
Phone (662) 563-6000
107 Eureka St
#B
Batesville, MS 38606
137 Public Sq
Batesville, MS 38606
Phone (662) 299-1390
12 Brookes Crossing
Pontotoc, MS 38863
Phone (662) 489-4044
105A Quality Ln
Senatobia, MS 38668
Phone (662) 298-2144
Organizations & group practices 27
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.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
MS
-
- Rural Health Clinic/Center
- West, MS
- NPI 1194738393
-
- General Acute Care Hospital
- Canton, MS
- NPI 1194770404
-
- Rural Health Clinic/Center
- Greenwood, MS
- NPI 1225800428
-
- Prosthetic/Orthotic Supplier
- Jackson, MS
- NPI 1235019530
-
- Clinic/Center
- Jackson, MS
- NPI 1245818301
-
- Rural Health Clinic/Center
- Greenwood, MS
- NPI 1295507333
-
- Medicare Defined Swing Bed Hospital Unit
- Canton, MS
- NPI 1326075193
-
- Rural Health Clinic/Center
- Greenwood, MS
- NPI 1336911536
-
- Critical Access Hospital
- Lexington, MS
- NPI 1386630705
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital
- Grenada, MS
- NPI 1083041917
Hospital
-
- General Acute Care Hospital
- Grenada, MS
- NPI 1558798603
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601251200000",
"number": "1831524909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 EUREKA ST",
"city": "BATESVILLE",
"state": "MS",
"postal_code": "386062599",
"telephone_number": "662-563-7681",
"fax_number": "662-563-8199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 EUREKA ST",
"city": "BATESVILLE",
"state": "MS",
"postal_code": "386062599",
"telephone_number": "662-563-7681",
"fax_number": "662-563-8911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULLICK-JOINER",
"first_name": "LACEY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-09",
"last_updated": "2020-09-28",
"certification_date": "2020-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R877500",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "877500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Batesville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.