Active NPI
Leap One Enterprise PLLC
- Endocrinology, Diabetes & Metabolism Physician
- Jackson, MS
National Provider Identifier
1033494372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 21249
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Jackson, MS
- NPI 1548452089
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.