Individual provider Active NPI

Leigh P Drace, CFNP

  • Nurse Practitioner
  • Gulfport, MS
National Provider Identifier
1013064245
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
784087 Issued in MS
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

Updated by the provider on Oct 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00126282MedicaidMS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040929001220 MS Practitioner - Nurse Practitioner 3375512916 Reassigns benefits to 15 organizations

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
Gulf Coast Wound Associates LLCGroup PAC ID 2466847744, 6 clinicians
Covington County HospitalGroup PAC ID 4183517253, 44 clinicians

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 Hospital, Collins, MS, CCN 251325
  • Pearl River County Hospital Hospital, Poplarville, MS, CCN 251333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
RH Hospitalist Medicine of Highland Community LLC CurrentSince Jan 1, 2026 Accepting new patients
Relias Emergency Medicine Specialists of Hattiesburg LLC CurrentSince Nov 17, 2024 Accepting new patients
Gulf Coast Wound Associates LLC CurrentSince Jun 25, 2025 Accepting new patients
RH Emergency Medicine of Highland Community LLC CurrentSince Jan 1, 2025 Accepting new patients
RH Emergency Medicine of Jefferson Davis LLC CurrentSince Jan 1, 2025 Accepting new patients
RH Hospitalist Medicine of Jefferson Davis LLC CurrentSince Jan 1, 2025 Accepting new patients
Relias Clinical Decision Specialists of Hattiesburg, LLC CurrentSince Apr 1, 2025 Accepting new patients
Forrest General Hospital Internal Medicine CurrentSince Feb 1, 2020 Accepting new patients
Covington County Hospital CurrentSince Oct 1, 2016 Accepting new patients
Forrest County General Hospital Current Accepting new patients
RH Hospitalist Medicine of Marion General LLC CurrentSince Jan 1, 2026 Accepting new patients
RH Emergency Medicine of Walthall General LLC CurrentSince Jan 1, 2025 Accepting new patients
Forrest County General Hospital CurrentSince Feb 1, 2020 Accepting new patients
RH Emergency Medicine of Perry County LLC CurrentSince Jan 1, 2025 Accepting new patients
RH Emergency Medicine of Pearl River LLC CurrentSince Jan 1, 2024 Accepting new patients
RH Emergency Medicine of Marion General LLC CurrentSince Jan 1, 2026 Accepting new patients
RH Hospitalist Medicine of Walthall General LLC CurrentSince Jan 1, 2025 Accepting new patients
Forrest County General Hospital CurrentSince Feb 23, 2011 Accepting new patients
Pearl River County Hospital CurrentSince Feb 23, 2011 Accepting new patients
Covington County Hospital CurrentSince Oct 1, 2016 Accepting new patients
Covington County Hospital Current Accepting new patients
Gulf Coast Internal Medicine PLLC Internal Medicine Past Accepting new patients
Forrest County General Hospital Past Accepting new patients

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

  • Direct secure messaging: leigh.drace@direct.mhg.com
  • FHIR API: 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.

View all 23

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.