Individual provider Active NPI

Lindsey Jackson, NP-C

  • Family Nurse Practitioner
  • Bude, MS
National Provider Identifier
1851795876
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R874215 Issued in MS
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170327000981 MS Practitioner - Nurse Practitioner 5698050045 Reassigns benefits to 3 organizations

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

LicenseStateTypeSpecialty
R874215MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Care Clinic, Inc. Current Accepting new patients
Family Health Care Clinic, Inc CurrentSince Feb 6, 2017 Accepting new patients
Franklin County Memorial Hospital CurrentSince Oct 15, 2024 Accepting new patients
Franklin County Memorial Hospital CurrentSince Oct 15, 2024 Accepting new patients
Franklin County Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients
Family Health Care Clinic, Inc. CurrentSince Feb 6, 2017 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.

Hospital & facility affiliations 3

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": "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

Sources for this page

Verify at the official NPI Registry.