LAKELAND FAMILY CLINIC PLLC (NPI# 1669648614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669648614 |
| Entity Type | Organization |
| Organization Name | LAKELAND FAMILY CLINIC PLLC |
| Practice Address |
1000 Lakeland Square Ext Suite 800 Flowood MS 39232 |
| Practice Telephone | 6019399811 |
| Practice Fax Number | 6019397272 |
| Mailing Telephone | 6019399811 |
| Mailing Fax Number | 6019397272 |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |
| Authorized Official Name | DR. CHARLES H WILLIAMS (OWNER) |
| Authorized Official Telephone | 6019399811 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 08447 | MS | Allopathic & Osteopathic Physicians |
| Street Address |
1000 LAKELAND SQUARE EXT SUITE 800 |
| City | FLOWOOD |
| State | MS |
| Zip Code | 39232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538140512 | Mark Owen Rester | Psychiatry & Neurology | 1000 Lakeland Square Ext, Ste. 900, Flowood, MS 39232-7620 | 2005-11-08 |
| 1194177170 | Piece of Mind Medical LLC | Health Maintenance Organization | 1000 Lakeland Square Ext, Suite 800, Flowood, MS 39232-7620 | 2016-07-01 |
| 1629487913 | Justin Brumfield | Chiropractor | 1000 Lakeland Square Ext, 400, Flowood, MS 39232-7620 | 2014-08-12 |
| 1295147346 | Specialty Pharmacy | Pharmacy | 1000 Lakeland Square Ext, Suite 100, Flowood, MS 39232-7620 | 2014-05-23 |
| 1699071241 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 1000 Lakeland Square Ext, Suite 100, Flowood, MS 39232-7620 | 2011-01-30 |
| 1598081895 | Maywood Chiropractic Clinic | Chiropractor | 1000 Lakeland Square Ext, Suite 400, Flowood, MS 39232-7620 | 2010-04-12 |
| 1659402378 | Lewis Alfred Norville | Chiropractor | 1000 Lakeland Square Ext, Suite 400, Flowood, MS 39232-7620 | 2007-03-07 |
| 1013016104 | Sheldon Willis | Dentist | 1000 Lakeland Square Ext, Suite 700, Flowood, MS 39232-7620 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| Find all providers in zip 39232 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770929713 | Reservoir Family Medical Clinic, Pa | Family Medicine | 1679 Old Fannin Rd Ste E, Flowood, MS 39232-8101 | 2013-05-17 |
| 1497990576 | Jjl Care Center of Mississippi, Inc. | Family Medicine | 4209 Lakeland Dr Ste 374, Flowood, MS 39232-9212 | 2008-12-03 |
| 1669663498 | Flowood River Oaks Hma Medical Group, LLC | Family Medicine | 1679 Old Fannin Rd, Suite E, Flowood, MS 39232-8101 | 2007-08-07 |
| 1669695714 | Medical Foundation of Central Mississippi, Inc | Family Medicine | 151 E Metro Dr #103, Flowood, MS 39232 | 2007-04-10 |
| 1386721546 | Fillingane Medical Clinic, Pa | Family Medicine | 1021 N Flowood Drive, Flowood, MS 39232-9533 | 2006-11-01 |
| 1972694818 | Irma H. Welch | Family Medicine | 2466 Flowood Dr, Flowood, MS 39232-9019 | 2006-09-27 |
| 1790795276 | John B Madden | Family Medicine | 4290 Lakeland Dr Ste A, Flowood, MS 39232-9571 | 2006-08-08 |
| 1417976739 | Jennifer Joiner Bryan | Family Medicine | 205a Belle Meade Pt, Flowood, MS 39232-3311 | 2006-07-18 |
| 1841289279 | Adelaide Frances Henderson | Family Medicine | 2001 Airport Rd N, Suite 204, Flowood, MS 39232-8827 | 2005-10-18 |
| 1629698246 | James Courtney Wilson | Family Medicine | 2466 Flowood Dr, Flowood, MS 39232-9019 | 2020-04-23 |
| Find all providers in FLOWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.