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

Lamonice Marie McCullom, NP

Individual provider Nurse Practitioner · NPI 1760284483

Lamonice Marie McCullom, NP is a Nurse Practitioner in Waveland, Mississippi. Qualified in 2025, 1 year ago. Practices with Fast Pace Mississippi PLLC, a 189-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
1
Licensed in
MS
In the registry since
2025
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

451 Highway 90
Waveland, MS 39576-2507
Phone: (228) 400-0055
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 907308 (MS)

Record details

NPI number1760284483
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 25, 2025
Last updated in NPPESMarch 25, 2025
Certification dateMarch 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Fast Pace Mississippi Pllc — 189 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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