Individual provider Active NPI

Bernesha La'Sha McLemore, FNP

  • Family Nurse Practitioner
  • Jackson, MS
National Provider Identifier
1053290809
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
907730 Issued in MS
Practice address
188 E Capitol St Ste 700
Jackson, MS 39201-2144
Phone
(844) 809-8438
NPI assigned
Aug 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 907730 MS Primary

Addresses

Primary practice location

188 E Capitol St Ste 700
Jackson, MS 39201-2144

Mailing address

510 Dublin Dr
Columbus, MS 39702-5538
Phone (601) 746-9928

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
I20250913000548 MS Practitioner - Nurse Practitioner 6608379797 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State Urgent Care, LLCGroup PAC ID 1557675311, 13 clinicians

Practice addresses (Care Compare)

521 S Montgomery St
Starkville, MS 39759-3337
Phone (662) 338-4826

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State Urgent Care, LLC CurrentSince Feb 9, 2026 Accepting new patients
Molina Care Connections, LLC. CurrentSince Sep 22, 2025 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

188 E Capitol St
Ste 700
Jackson, MS 39201
Phone (844) 809-8438

521 S Montgomery St
Starkville, MS 39759
Phone (662) 338-4826

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11573/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1053290809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 DUBLIN DR",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397025538",
            "telephone_number": "601-746-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 E CAPITOL ST STE 700",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392012144",
            "telephone_number": "844-809-8438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEMORE",
        "first_name": "BERNESHA",
        "middle_name": "LA'SHA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "907730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.