Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lucedale Family Medical Clinic

Organization Family Medicine Physician · NPI 1992409262

Lucedale Family Medical Clinic provides Family Medicine Physician services in Lucedale, Mississippi. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

223 Winter St Ste D
Lucedale, MS 39452-6078
Phone: (601) 791-5012
Fax: (601) 791-5013
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1992409262
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bridgot Peters — Billing Director · (251) 445-7618
Other names Lucedale Family Medical Clinic, Llc
NPI enumeratedMarch 29, 2023
Last updated in NPPESMay 10, 2024
Certification dateMay 10, 2024
Mailing address6577 Creel Rd, Theodore, AL 36582-3857

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