Active NPI
Roger T Lott, MD
- Family Medicine Physician
- Laurel, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 15957
- Practice address
- 2313 Highway 15 N
Laurel, MS 39440-1805 - Phone
- (601) 649-2775
- Fax
- (601) 649-2686
- NPI assigned
- Jul 12, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 15957 | MS | Primary |
Addresses
Primary practice location
2313 Highway 15 N
Laurel, MS 39440-1805
Mailing address
415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 649-2775
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1554197 | Medicaid | LA | |
| 00120367 | Medicaid | MS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rlott49417@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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Mississippi School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 264-6000
Hospital & facility affiliations
- Deaconess Homecare- Region I
- Forrest General Home Care
- Comfortcare Home Health
- South Central Reg Med Ctr
- Forrest General Hospital
- Perry County General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hattiesburg Clinic, PA | Current | Accepting new patients | |
| Hattiesburg Clinic PA | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Past | Accepting new patients | |
| Hattiesburg Clinic, PA | Past | Accepting new patients |
Locations
415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606
2313 Highway 15 N
Ste B
Laurel, MS 39440
2313 Highway 15 N
Laurel, MS 39440
Phone (601) 319-0527
801 Goodyear Blvd
Picayune, MS 39466
Phone (601) 749-0688
Interoperability endpoints
- rlott49417@directpatientrecord.com
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Hattiesburg, MS
- NPI 1740213446
-
- Primary Care Clinic/Center
- Flowood, MS
- NPI 1912600354
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Laurel, MS
- NPI 1245263540
-
- Critical Access Hospital
- Lexington, MS
- NPI 1386630705
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hattiesburg, MS
- NPI 1225041809
-
- Home Health Agency
- Hattiesburg, MS
- NPI 1336256700
-
- Rural Acute Care Hospital
- Richton, MS
- NPI 1932143989
-
- Home Health Agency
- Laurel, MS
- NPI 1093790404
-
- General Acute Care Hospital
- Laurel, MS
- NPI 1619973542
-
- Home Health Agency
- Laurel, MS
- NPI 1326039470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597017600000",
"number": "1861417065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 S 28TH AVE",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394017246",
"telephone_number": "601-649-2775",
"fax_number": "601-579-5240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2313 HIGHWAY 15 N",
"city": "LAUREL",
"state": "MS",
"postal_code": "394401805",
"telephone_number": "601-649-2775",
"fax_number": "601-649-2686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOTT",
"first_name": "ROGER",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "15957",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1554197",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00120367",
"state": "MS"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rlott49417@directpatientrecord.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "2313 Highway 15 N",
"city": "Laurel",
"state": "MS",
"country_code": "US",
"postal_code": "394401805",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Laurel, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.