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

Mrs. Amy Malinda Lott, NURSEPRACTITIONER

Individual provider Gerontology Nurse Practitioner · NPI 1316460090

Mrs. Amy Malinda Lott, NURSEPRACTITIONER is a Nurse Practitioner in Leakesville, Mississippi. Qualified in 2017, 9 years ago. Practices with Greene Area Medical Extenders Inc, a 5-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
9
Licensed in
MS
In the registry since
2017

Practice location Address checks out

1616 Williams Dr
Leakesville, MS 39451-5622
Phone: (601) 394-2381
Fax: (601) 394-2593
Show map & directions

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

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 902191 (MS)

Record details

NPI number1316460090
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedJuly 25, 2017
Last updated in NPPESSeptember 17, 2020
Certification dateSeptember 17, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Greene Area Medical Extenders Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare