Lauderdale Medical Group PLLC
NPI 1689456527 · Primary Care Clinic/Center · Pontotoc, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lauderdale Medical Group PLLC is a Primary Care Clinic/Center organization in Pontotoc, MS (NPI 1689456527).
Provider details
- NPI number
- 1689456527
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jessica Lauderdale, Owner(662) 489-6041
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Lauderdale Medical Group
- Doing business as
- Lauderdale Medical Group
Registry dates
- Enumerated
- 2023-10-16
- Last updated
- 2024-03-22
- Certified
- 2024-03-22
Frequently asked questions
- What is Lauderdale Medical Group PLLC's NPI number?
- Lauderdale Medical Group PLLC's National Provider Identifier (NPI) is 1689456527, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lauderdale Medical Group PLLC?
- Lauderdale Medical Group PLLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lauderdale Medical Group PLLC located?
- Lauderdale Medical Group PLLC's practice location on file with NPPES is 11 E Jefferson St, Pontotoc, MS 38863-2807.
- What is Lauderdale Medical Group PLLC's phone number?
- The practice phone number listed in the NPPES registry for Lauderdale Medical Group PLLC is (662) 419-1260.
- Does Lauderdale Medical Group PLLC accept Medicare?
- Lauderdale Medical Group PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lauderdale Medical Group PLLC?
- The authorized official listed on Lauderdale Medical Group PLLC's NPPES record is Jessica Lauderdale, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lauderdale Medical Group PLLC's NPI active?
- Yes — Lauderdale Medical Group PLLC's NPI (1689456527) is active in the NPPES registry as of the last update on 2024-03-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.