JESSICA LILLEY M.D. – NPI #1093912479
Pediatrics

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

JESSICA LILLEY is a physician located in TUPELO, MS. NPPES has assigned the NPI number 1093912479 to JESSICA LILLEY on June 29, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2080P0205X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Endocrinology

The NPI profile was previously updated about 3 years ago on Nov 16, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JESSICA LILLEY below.

NPI Profile for
JESSICA LILLEY

NPI Number
1093912479
Enumeration Date

(about 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JESSICA LILLEY
Credentials
M.D.
Primary location
330 W JEFFERSON ST
TUPELO, MS 38804-3936
Phone: (624) 320-2006 Fax: (662) 432-0199
Mailing address
7731 OLD CANTON RD STE B
MADISON, MS 39110-6115
Phone: (601) 499-0935 Fax: (601) 499-0936
Sole Proprietor
No
Updated
Certification Date
Mar 17, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0205X
- Pediatrics / Pediatric Endocrinology (Primary)
MS 22722
208000000X
- Pediatrics
PA MT191145

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.