Individual provider Active NPI

Lee Michael Ferguson, M.D.

  • Nephrology Physician
  • Flowood, MS
National Provider Identifier
1114239423
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
22578 Issued in MS
Practice address
102 Riverview Dr Ste a
Flowood, MS 39232-8908
Phone
(601) 981-1610
Fax
(601) 366-2887
NPI assigned
Jul 2, 2010
Last updated
May 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 22578 MS Primary

Addresses

Primary practice location

102 Riverview Dr Ste a
Flowood, MS 39232-8908

Mailing address

102 Riverview Dr Ste a
Flowood, MS 39232-8908
Phone (601) 981-1610

Other identifiers 2

IdentifierTypeStateIssuer
100180108MedicaidMS
22578OtherMSMISSISSIPPI MEDICAL LICENSE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150701000732 MS Practitioner - NephrologyPractitioner - Internal Medicine 6103055033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Mississippi School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Nephrology Clinic PLLCGroup PAC ID 7517120595, 16 clinicians

Practice addresses (Care Compare)

102 Riverview Dr
Suite a
Flowood, MS 39232-8908
Phone (601) 981-1610

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Central Nephrology Clinic PLLC Nephrology CurrentSince Jul 1, 2015 Accepting new patients

Locations

1010 Lakeland Square Ext
Ste A
Flowood, MS 39232
Phone (601) 981-1610

102 Riverview Dr
#A
Flowood, MS 39232
Phone (601) 981-1610

Networks

  • LA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: lee.ferguson.p66@direct.aac.nextgenshare.com
  • Direct secure messaging: lee.ferguson.p77@direct.aac.nextgenshare.com
  • Direct secure messaging: lferguson26198@direct.acumenmd.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1114239423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 RIVERVIEW DR STE A",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328908",
            "telephone_number": "601-981-1610",
            "fax_number": "601-366-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 RIVERVIEW DR STE A",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328908",
            "telephone_number": "601-981-1610",
            "fax_number": "601-366-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "LEE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-02",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MS",
            "license": "22578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100180108",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSISSIPPI MEDICAL LICENSE",
            "identifier": "22578",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.