What is Living Waters Community Medical Center PLLC's NPI number?

Living Waters Community Medical Center PLLC's National Provider Identifier (NPI) is 1144403122, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Living Waters Community Medical Center PLLC?

Living Waters Community Medical Center PLLC is classified in the NPPES registry as Specialist (Other Service Providers).

Where is Living Waters Community Medical Center PLLC located?

Living Waters Community Medical Center PLLC's practice location on file with NPPES is 13472 Vidalia Rd, Pass Christian, MS 39571-8300.

What is Living Waters Community Medical Center PLLC's phone number?

The practice phone number listed in the NPPES registry for Living Waters Community Medical Center PLLC is (228) 586-2455.

Who is the authorized official for Living Waters Community Medical Center PLLC?

The authorized official listed on Living Waters Community Medical Center PLLC's NPPES record is Lisa Tillman, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Living Waters Community Medical Center PLLC's NPI active?

Yes — Living Waters Community Medical Center PLLC's NPI (1144403122) is active in the NPPES registry as of the last update on 2007-12-12.

OrganizationActive

Living Waters Community Medical Center PLLC

NPI 1144403122 · Specialist · Pass Christian, MS

Living Waters Community Medical Center PLLC is a Specialist organization in Pass Christian, MS (NPI 1144403122).

Provider details

NPI number: 1144403122
Entity type: Organization
Primary specialty: SpecialistOther Service Providers
Organization subpart: No
Authorized official: Lisa Tillman, Office Manager(228) 586-2455
License: 06960 (MS)

Practice location

13472 Vidalia Rd

Pass Christian, MS 39571-8300

Phone: (228) 586-2455

Street-level locationGet directions

More MS providers

Mailing address

13472 Vidalia Rd

Pass Christian, MS 39571-8300

Specialties & taxonomies

SpecialistPrimary174400000XLicense 06960 (MS)
Other Service Providers

Profile Score

Detailed profile(89/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
18 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2007-12-12
Last updated: 2007-12-12

Frequently asked questions

What is Living Waters Community Medical Center PLLC's NPI number?: Living Waters Community Medical Center PLLC's National Provider Identifier (NPI) is 1144403122, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Living Waters Community Medical Center PLLC?: Living Waters Community Medical Center PLLC is classified in the NPPES registry as Specialist (Other Service Providers).
Where is Living Waters Community Medical Center PLLC located?: Living Waters Community Medical Center PLLC's practice location on file with NPPES is 13472 Vidalia Rd, Pass Christian, MS 39571-8300.
What is Living Waters Community Medical Center PLLC's phone number?: The practice phone number listed in the NPPES registry for Living Waters Community Medical Center PLLC is (228) 586-2455.
Who is the authorized official for Living Waters Community Medical Center PLLC?: The authorized official listed on Living Waters Community Medical Center PLLC's NPPES record is Lisa Tillman, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Living Waters Community Medical Center PLLC's NPI active?: Yes — Living Waters Community Medical Center PLLC's NPI (1144403122) is active in the NPPES registry as of the last update on 2007-12-12.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions