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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.

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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?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-07-17. Verify at npiregistry.cms.hhs.gov.
Where is Lucedale Obgyn Center located?
The practice location on file with NPPES is in Lucedale, MS.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-07-17.