NPIMap

Individual provider Active NPI

A Keith Lay Jr., MD

  • Family Medicine Physician
  • Bay Springs, MS
National Provider Identifier
1144338369
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9629 Issued in MS
Practice address
27 S Sixth St
Bay Springs, MS 39422-9052
Phone
(604) 764-2143
NPI assigned
Aug 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9629 MS Primary

Addresses

Primary practice location

27 S Sixth St
Bay Springs, MS 39422-9052

Mailing address

PO Box 549
Bay Springs, MS 39422
Phone (601) 764-2143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080911000231 MS Practitioner - Family Practice 1850209826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jasper General HospitalGroup PAC ID 1052487105, 10 clinicians

Practice addresses (Care Compare)

27 S 6TH St
Bay Springs, MS 39422-9052
Phone (601) 764-2155

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9629MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jasper General Hospital Family Medicine CurrentSince Jan 1, 2020 Accepting new patients
Jasper General Hospital Family Medicine CurrentSince Jan 1, 2020 Accepting new patients
Eure-Lay Clinic Family Medicine PastSince Jul 1, 2003 Accepting new patients
Jasper General Hospital Past Accepting new patients
Jasper County Nursing Home Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/jasper-5bfe62f3

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1144338369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 549",
            "city": "BAY SPRINGS",
            "state": "MS",
            "postal_code": "39422",
            "telephone_number": "601-764-2143",
            "fax_number": "601-764-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 S SIXTH ST",
            "city": "BAY SPRINGS",
            "state": "MS",
            "postal_code": "394229052",
            "telephone_number": "604-764-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAY",
        "first_name": "A",
        "middle_name": "KEITH",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "9629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Springs, MS

Sources for this page

Verify at the official NPI Registry.