Organization Active NPI

Leap One Enterprise PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Jackson, MS
National Provider Identifier
1033494372
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
21249 Issued in MS
Legal business name
LEAP ONE ENTERPRISE PLLC
Practice address
5160 Galaxie Dr
Jackson, MS 39206-4308
Phone
(615) 525-1019
Fax
(601) 366-3415
NPI assigned
Oct 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Authorized official

Name
Foster Lagina C, MD
Title
Owner/Physician
Phone
(615) 525-1019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X 21249 MS Primary

Addresses

Primary practice location

5160 Galaxie Dr
Jackson, MS 39206-4308

Mailing address

5160 Galaxie Dr
Jackson, MS 39206-4308
Phone (615) 525-1019

Other names 1

  • Care One Endocrine Instutite Doing business as

National Provider Directory

National Provider Directory

Locations

5160 Galaxie Dr
Jackson, MS 39206
Phone (601) 713-0890

5160 Galaxie Dr
#One
Jackson, MS 39206
Phone (601) 713-0890

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1033494372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5160 GALAXIE DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392064308",
            "telephone_number": "615-525-1019",
            "fax_number": "601-366-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5160 GALAXIE DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392064308",
            "telephone_number": "615-525-1019",
            "fax_number": "601-366-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAP ONE ENTERPRISE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "C",
        "authorized_official_first_name": "FOSTER",
        "authorized_official_middle_name": "LAGINA",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "615-525-1019",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MS",
            "license": "21249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care One Endocrine Instutite",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.