Active NPI
Nicole Lott, FNP-C
- Family Nurse Practitioner
- Laurel, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R882086
- Practice address
- 235 S 14TH Ave
Laurel, MS 39440-4227 - Phone
- (601) 651-2830
- Fax
- (601) 651-2835
- NPI assigned
- Jul 15, 2014
- Last updated
- Feb 24, 2016
- 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 | R882086 | MS | Primary |
Addresses
Primary practice location
235 S 14TH Ave
Laurel, MS 39440-4227
Mailing address
235 S 14TH Ave
Laurel, MS 39440-4227
Phone (601) 651-2830
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01929768 | Medicaid | MS |
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, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Covington County Hospital
Practice addresses (Care Compare)
104 W Main St
20 Family Care Seminary
Seminary, MS 39479-9027
Phone (601) 722-3610
3275 Hwy 49 E
Family Care Express
Collins, MS 39428-3776
Phone (601) 765-6292
603 S Main St
Green Tree Family Medical Clinic
Mt Olive, MS 39119-8902
Phone (601) 797-3405
800 3Rd St SW
Magee, MS 39111-3951
Phone (601) 849-1918
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R882086 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covington County Hospital | Current | Accepting new patients | |
| Covington County Hospital | Current | Accepting new patients | |
| Thomas R. Blackledge, Jr., MD, PA | Current | Accepting new patients | |
| Covington County Hospital | Current | Accepting new patients | |
| Covington County Hospital | Current | Accepting new patients | |
| Covington County Hospital | Current | Accepting new patients | |
| Green Tree Family Medical Clinic | Current | Accepting new patients | |
| Dearman Medical Group, LLC | Past | Accepting new patients | |
| Jones Family Medicine Clinic, PLLC | Past | Accepting new patients |
Locations
3275 Highway 49
Ste E
Collins, MS 39428
Phone (601) 765-6292
701 S Holly Ave
Collins, MS 39428
Phone (601) 765-3180
800 3rd St SW
Magee, MS 39111
Phone (601) 849-1918
Organizations & group practices 9
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.
-
dba CCH Clinic Seminary
- Rural Health Clinic/Center
- Seminary, MS
- NPI 1134435498
-
dba Green Tree Family Medical Clinic
- Rural Health Clinic/Center
- Mount Olive, MS
- NPI 1336447861
-
dba Family Care of Main Street
- Rural Health Clinic/Center
- Collins, MS
- NPI 1518260330
-
dba CCH Clinic Family Medical
- Rural Health Clinic/Center
- Collins, MS
- NPI 1598769044
-
dba Medical Center of Magee
- Rural Health Clinic/Center
- Magee, MS
- NPI 1750895611
-
- Rural Health Clinic/Center
- Mount Olive, MS
- NPI 1770741191
-
- Family Medicine Physician
- Magee, MS
- NPI 1376861757
-
dba Jones Family Medicine Clinics
- Family Medicine Physician
- Laurel, MS
- NPI 1609531276
-
dba JFMC The Q, LLC
- Primary Care Clinic/Center
- Laurel, MS
- NPI 1801222898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456272000000",
"number": "1861809402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 S 14TH AVE",
"city": "LAUREL",
"state": "MS",
"postal_code": "394404227",
"telephone_number": "601-651-2830",
"fax_number": "601-651-2835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 S 14TH AVE",
"city": "LAUREL",
"state": "MS",
"postal_code": "394404227",
"telephone_number": "601-651-2830",
"fax_number": "601-651-2835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOTT",
"first_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-15",
"last_updated": "2016-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R882086",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01929768",
"state": "MS"
}
],
"endpoints": [],
"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 Feb 24, 2016; 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.