Individual provider

Jessica Lauderdale, DO

Family Medicine Physician General Practice Physician Medicare enrolled

Jessica Lauderdale, DO is a Family Medicine Physician in Pontotoc, MS, registered under NPI 1093095523. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 11 E JEFFERSON ST, Pontotoc, MS 38863. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

11 E JEFFERSON ST, Pontotoc, MS 38863 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
23832 MS Family Medicine Physician primary
L2069591 MI General Practice Physician

Licences are recorded in 2 states: MS, MI. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Family Practice
PAC ID
4082901228
Enrollment ID
I20170111000566

Medicare enrolment is recorded as approved under the provider type Practitioner - Family Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Michigan and Mississippi. The practice address on file is in Pontotoc, MS, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

MI Michigan
Licence
L2069591
Specialty
General Practice Physician
Verify with the MI board →
MS Mississippi practice address
Licence
23832
Specialty
Family Medicine Physician
Verify with the MS board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Family Medicine covers

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. NUCC Health Care Provider Taxonomy, code 207Q00000X
Allopathic & Osteopathic Physicians Family Medicine

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207Q00000X Family Medicine Physician 23832 MS primary
208D00000X General Practice Physician L2069591 MI

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1093095523 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 29, 2011
Last updatedNov 17, 2023
StatusActive
Sole proprietorYes
CredentialDO
Practice address 11 E JEFFERSON ST
Pontotoc, MS 38863
(662) 489-6041
This record was updated on Nov 17, 2023, which is recent enough that the contact details are likely still accurate.

Number check

1093095523 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 9 3 0 9 5 5 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 9 3 0 9 1 5 4

Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1093095523?
NPI 1093095523 is the National Provider Identifier assigned to Jessica Lauderdale, DO in Pontotoc, MS. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family Medicine Physician cover?
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.
How do I contact Jessica Lauderdale, DO?
The phone number on file with NPPES is (662) 489-6041, last updated Nov 17, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Jessica Lauderdale, DO accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1093095523 a valid number?
Yes. 1093095523 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.