Active NPI
Lindsey Jackson, NP-C
- Family Nurse Practitioner
- Bude, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R874215
- Practice address
- 136 Main St N
Bude, MS 39630-7117 - Phone
- (601) 384-2394
- Fax
- (601) 384-2396
- NPI assigned
- Oct 20, 2014
- Last updated
- Apr 10, 2025
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R874215 | MS | Primary |
Addresses
Primary practice location
136 Main St N
Bude, MS 39630-7117
Mailing address
136 Main St N
Bude, MS 39630-7117
Phone (601) 384-2394
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, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
136 Main St N
Family Medical Group of Bude
Bude, MS 39630-7117
Phone (601) 384-8143
2110 Hwy 84 E
Meadville, MS 39653-8006
40 Union Church Rd
Meadvile, MS 39653-8336
Phone (601) 384-2273
P O Box
Suite 428
Meadville, MS 39653-0428
PO Box
Suite 636
Meadville, MS 39653
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R874215 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Care Clinic, Inc. | Current | Accepting new patients | |
| Family Health Care Clinic, Inc | Current | Accepting new patients | |
| Franklin County Memorial Hospital | Current | Accepting new patients | |
| Franklin County Memorial Hospital | Current | Accepting new patients | |
| Franklin County Memorial Hospital | Current | Accepting new patients | |
| Family Health Care Clinic, Inc. | Current | Accepting new patients |
Locations
290 Highway 51 N
Brookhaven, MS 39601
Phone (601) 823-1710
136 Main St N
Bude, MS 39630
Phone (601) 384-2394
40 Union Church Rd
Meadville, MS 39653
Phone (601) 384-2273
445 Main St E
Meadville, MS 39653
Phone (601) 384-3720
4635 Highway 80 E
Pearl, MS 39208
Phone (601) 933-2500
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
- Meadville, MS
- NPI 1669705612
-
- Federally Qualified Health Center (FQHC)
- Pearl, MS
- NPI 1043236326
-
- Federally Qualified Health Center (FQHC)
- Meadville, MS
- NPI 1235371659
-
- Federally Qualified Health Center (FQHC)
- Flowood, MS
- NPI 1689440133
-
- General Acute Care Hospital
- Meadville, MS
- NPI 1639121445
-
- Medicare Defined Swing Bed Hospital Unit
- Meadville, MS
- NPI 1649503699
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Meadville, MS
- NPI 1669705612
-
- General Acute Care Hospital
- Brookhaven, MS
- NPI 1972503464
-
dba AccentCare Home Health of Jackson
- Home Health Agency
- Clinton, MS
- NPI 1356482749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744243200000",
"number": "1851795876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 MAIN ST N",
"city": "BUDE",
"state": "MS",
"postal_code": "396307117",
"telephone_number": "601-384-2394",
"fax_number": "601-384-2396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 MAIN ST N",
"city": "BUDE",
"state": "MS",
"postal_code": "396307117",
"telephone_number": "601-384-2394",
"fax_number": "601-384-2396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "LINDSEY",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-20",
"last_updated": "2025-04-10",
"certification_date": "2025-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R874215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bude, MS
- Bude Rural Health Clinic
- Mildred A Dillon, RNC,OGNP
- Family Health Care Clinic, Inc.
- Franklin County Memorial Hospital (Family Medical Group of Bude)
- Marcia Jones Holloway, NP
- Richard King Jr., RPH
- King's Discount Pharmacy
- Kings Discount Pharmacy
- Mississippi State Department of Health
- Heather Michelle Priest, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.