Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lauderdale Medical Group PLLC

Organization Primary Care Clinic/Center · NPI 1689456527

Lauderdale Medical Group PLLC is a Primary Care Clinic/Center in Pontotoc, Mississippi. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11 E Jefferson St
Pontotoc, MS 38863-2807
Phone: (662) 419-1260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1689456527
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Lauderdale — Owner · (662) 489-6041
Other names Lauderdale Medical Group; Lauderdale Medical Group
NPI enumeratedOctober 16, 2023
Last updated in NPPESMarch 22, 2024
Certification dateMarch 22, 2024
Mailing address131 Emberwood Ct, Tupelo, MS 38801-7861

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