Lucedale Obgyn Center
Lucedale Obgyn Center is a healthcare organization registered as Obstetrics & Gynecology Physician in Lucedale, MS, holding Type 2 (organization) NPI 1093023491 since 2010. The authorized official on file is Susan Rutledge, Ao.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1093023491 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Lucedale Obgyn Center |
| Other name | <Unavail> |
| Practice address | 859 WINTER ST STE A, Lucedale, MS, 39452 |
| Phone | 6019476000 |
| Fax | 6019479436 |
| Enumeration date | 2010-09-20 |
| Last updated in NPPES | 2023-07-17 |
Authorized official
| Name | Susan Rutledge |
|---|---|
| Title | Ao |
| Phone | 6019471330 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05608257 | Medicaid | MS | — |
Copy-ready billing details
Provider: Lucedale Obgyn Center NPI: 1093023491 Taxonomy: 207V00000X (Obstetrics & Gynecology Physician) Address: 859 WINTER ST STE A, Lucedale, MS, 39452
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1518071570 | Lucedale Ob/Gyn Center | Organization | Rural Health Clinic/Center | Lucedale, MS |
Verify this record
Cross-check NPI 1093023491 against the authoritative CMS record: view Lucedale Obgyn Center on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Lucedale Obgyn Center located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-07-17.