Individual provider Active NPI

Roger T Lott, MD

  • Family Medicine Physician
  • Laurel, MS
National Provider Identifier
1861417065
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15957 Issued in MS
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

Updated by the provider on Aug 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1554197MedicaidLA
00120367MedicaidMS

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040420000955 MS Practitioner - Family PracticePractitioner - General PracticePractitioner - Emergency Medicine 1052304607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine, General Practice
Education
University of Mississippi School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hattiesburg Clinic PAGroup PAC ID 5193706794, 525 clinicians

Practice addresses (Care Compare)

415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 264-6000

Hospital & facility affiliations

  • Deaconess Homecare- Region I Home health agency, Laurel, MS, CCN 257085
  • Forrest General Home Care Home health agency, Hattiesburg, MS, CCN 257127
  • Comfortcare Home Health Home health agency, Laurel, MS, CCN 257099
  • South Central Reg Med Ctr Hospital, Laurel, MS, CCN 250058
  • Forrest General Hospital Hospital, Hattiesburg, MS, CCN 250078
  • Perry County General Hospital Hospital, Richton, MS, CCN 250783

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hattiesburg Clinic, PA CurrentSince Nov 23, 2015 Accepting new patients
Hattiesburg Clinic PA CurrentSince Nov 23, 2015 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.