Active NPI
Leigh P Drace, CFNP
- Nurse Practitioner
- Gulfport, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 784087
- Practice address
- 394 Courthouse Rd Ste a
Gulfport, MS 39507-1866 - Phone
- (228) 896-4417
- Fax
- (228) 604-0121
- NPI assigned
- Jan 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 784087 | MS | Primary |
Addresses
Primary practice location
394 Courthouse Rd Ste a
Gulfport, MS 39507-1866
Mailing address
PO Box 1810
Gulfport, MS 39502-1810
Phone (228) 575-1194
Other practice location 1
18401 Dogwood Ln
Saucier, MS 39574-9612
Phone (228) 831-3538
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00126282 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4500 13TH St
Suite 900
Gulfport, MS 39501-2515
Phone (228) 678-1751
701 S Holly Ave
Collins, MS 39428-3894
Phone (601) 765-6711
Hospital & facility affiliations
- Covington County Hospital Cah
- Pearl River County Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
Locations
2279 Atkinson Rd
Biloxi, MS 39531
Phone (228) 388-1805
701 S Holly Ave
Collins, MS 39428
Phone (601) 765-3180
3275 Highway 49
Ste E
Collins, MS 39428
Phone (601) 765-6292
1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303
4500 13th St
Ste 900
Gulfport, MS 39501
Phone (228) 236-3872
6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690
415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606
130 Highland Pkwy
Picayune, MS 39466
Phone (601) 358-9400
305 W Moody St
#H
Poplarville, MS 39470
Phone (601) 795-4345
305 W Moody St
Poplarville, MS 39470
Phone (601) 795-4345
1102 Rose St
Prentiss, MS 39474
Phone (601) 792-2947
206 Bay Ave
Richton, MS 39476
Phone (601) 788-6316
100 Hospital Dr
Tylertown, MS 39667
Phone (601) 876-0455
1436 Central Ave E
Wiggins, MS 39577
Phone (601) 928-1889
Interoperability endpoints
- leigh.drace@direct.mhg.com
- https://fhir-usa.unify.chbase.com/org/covingc-3983785e
Organizations & group practices 23
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Collins, MS
- NPI 1518260330
-
- Wound Care Registered Nurse
- Diamondhead, MS
- NPI 1467118448
-
- Psychiatric Hospital Unit
- Hattiesburg, MS
- NPI 1295837631
-
- Emergency Medicine Physician
- Hattiesburg, MS
- NPI 1336867415
-
- Emergency Medicine Physician
- Hattiesburg, MS
- NPI 1609409440
-
- Emergency Medicine Physician
- Picayune, MS
- NPI 1033987946
-
- Emergency Medicine Physician
- Prentiss, MS
- NPI 1356103527
-
- Emergency Medicine Physician
- Columbia, MS
- NPI 1841064110
-
- Emergency Medicine Physician
- Poplarville, MS
- NPI 1265206544
-
- Emergency Medicine Physician
- Richton, MS
- NPI 1740058650
-
- Emergency Medicine Physician
- Tylertown, MS
- NPI 1336901511
-
- Hospitalist Physician
- Picayune, MS
- NPI 1841068756
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Collins, MS
- NPI 1215965249
-
- Critical Access Hospital
- Poplarville, MS
- NPI 1760789903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1013064245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1810",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395021810",
"telephone_number": "228-575-1194",
"fax_number": "228-575-2917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "394 COURTHOUSE RD STE A",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395071866",
"telephone_number": "228-896-4417",
"fax_number": "228-604-0121"
}
],
"practiceLocations": [
{
"address_1": "18401 Dogwood Ln",
"address_purpose": "LOCATION",
"city": "Saucier",
"state": "MS",
"postal_code": "395749612",
"country_code": "US",
"telephone_number": "228-831-3538",
"fax_number": "228-831-3538",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DRACE",
"first_name": "LEIGH",
"middle_name": "P",
"name_prefix": "Mrs.",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "784087",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00126282",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.