Individual provider Active NPI

Sarah Lott, PMHNP

  • Family Nurse Practitioner
  • Collins, MS
National Provider Identifier
1922582220
Registry record updated May 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902653 Issued in MS
Practice address
701 S Holly Ave
Collins, MS 39428-3894
Phone
(601) 765-3180
Fax
(601) 765-2808
NPI assigned
Sep 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 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 902653 MS Primary

Addresses

Primary practice location

701 S Holly Ave
Collins, MS 39428-3894

Mailing address

PO Box 2499
Collins, MS 39428-2499
Phone (601) 765-3180

Other names 1

  • Sarah Clark Other name

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
I20181029000792 MS Practitioner - Nurse Practitioner 3779836325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covington County HospitalGroup PAC ID 4183517253, 44 clinicians

Practice addresses (Care Compare)

1039 Hwy 42
Suite 3
Sumrall, MS 39482-4478
Phone (769) 307-6995

Hospital & facility affiliations

  • Covington County Hospital Cah Hospital, Collins, MS, CCN 251325
  • Jasper General Hospital Hospital, Bay Springs, MS, CCN 250018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Covington County Hospital CurrentSince Sep 1, 2018 Accepting new patients
Covington County Hospital CurrentSince Sep 1, 2018 Accepting new patients
Covington County Hospital PastSince Sep 1, 2018 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

1039 Highway 42
Ste 3
Sumrall, MS 39482
Phone (601) 837-6883

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/covingc-3983785e

Organizations & group practices 3

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 2

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": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748217600000",
    "number": "1922582220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2499",
            "city": "COLLINS",
            "state": "MS",
            "postal_code": "394282499",
            "telephone_number": "601-765-3180",
            "fax_number": "601-765-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S HOLLY AVE",
            "city": "COLLINS",
            "state": "MS",
            "postal_code": "394283894",
            "telephone_number": "601-765-3180",
            "fax_number": "601-765-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTT",
        "first_name": "SARAH",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-21",
        "last_updated": "2025-05-26",
        "certification_date": "2025-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "CLARK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Collins, MS

Sources for this page

Verify at the official NPI Registry.