Lucedale Family Medical Clinic
NPI 1992409262 · Family Medicine Physician · Lucedale, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lucedale Family Medical Clinic is a Family Medicine Physician organization in Lucedale, MS (NPI 1992409262).
Provider details
- NPI number
- 1992409262
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bridgot Peters, Billing Director(251) 445-7618
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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)
- Other name
- Lucedale Family Medical Clinic, LLC
Registry dates
- Enumerated
- 2023-03-29
- Last updated
- 2024-05-10
- Certified
- 2024-05-10
Frequently asked questions
- What is Lucedale Family Medical Clinic's NPI number?
- Lucedale Family Medical Clinic's National Provider Identifier (NPI) is 1992409262, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lucedale Family Medical Clinic?
- Lucedale Family Medical Clinic is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lucedale Family Medical Clinic located?
- Lucedale Family Medical Clinic's practice location on file with NPPES is 223 Winter St Ste D, Lucedale, MS 39452-6078.
- What is Lucedale Family Medical Clinic's phone number?
- The practice phone number listed in the NPPES registry for Lucedale Family Medical Clinic is (601) 791-5012.
- Does Lucedale Family Medical Clinic accept Medicare?
- Lucedale Family Medical Clinic 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 Lucedale Family Medical Clinic?
- The authorized official listed on Lucedale Family Medical Clinic's NPPES record is Bridgot Peters, Billing Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lucedale Family Medical Clinic's NPI active?
- Yes — Lucedale Family Medical Clinic's NPI (1992409262) is active in the NPPES registry as of the last update on 2024-05-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.