Leah Burch Rock, MD

Key facts

NPI

1215434261

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

29171 (MS)

Practice address

201A Bay Ave
Richton, MS 39476-9671

Phone

(601) 583-1559

Fax

(601) 579-5240

NPI assigned

Apr 6, 2018

Sex

Female

Sole proprietor

No

Organizations & group practices 3

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.

• Hattiesburg Clinic PA Multi-Specialty Clinic/Center · Hattiesburg, MS · NPI 1740213446
  Medicare reassignment NPD MS
• Hattiesburg Clinic, PA Family Medicine Physician · Richton, MS · NPI 1386213957
  NPD FAMILY MEDICINE
• Hattiesburg Clinic, PA Primary Care Clinic/Center · Flowood, MS · NPI 1912600354
  NPD

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Forrest County General Hospital Home Health Agency · Hattiesburg, MS · NPI 1336256700
  Care Compare affiliation Home health agency
• Forrest County General Hospital Rural Acute Care Hospital · Richton, MS · NPI 1932143989
  Care Compare affiliation Hospital
• Home Health Care Systems, Inc. Home Health Agency · Hattiesburg, MS · NPI 1760416754
  Care Compare affiliation Home health agency
• Leaf River Home Health Care, LLC Home Health Agency · Richton, MS · NPI 1770521072
  Care Compare affiliation Home health agency

Medicare Care Compare profile

Specialty

Family Practice

Education

University of Mississippi School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hattiesburg Clinic PA (525 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health & Hospice Home health agency · Hattiesburg, MS · CCN 257091
• Mississippi Homecare of Richton Home health agency · Richton, MS · CCN 257120
• Forrest General Home Care Home health agency · Hattiesburg, MS · CCN 257127
• Perry County General Hospital Hospital · Richton, MS · CCN 250783

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lrock113607@directpatientrecord.com

Specialties & licenses

Addresses

Other identifiers

Other names

• Leah Brianne Burch Former name

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 2, 2023.

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1215434261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S 28TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017246",
            "telephone_number": "601-579-5463",
            "fax_number": "601-579-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201A BAY AVE",
            "city": "RICHTON",
            "state": "MS",
            "postal_code": "394769671",
            "telephone_number": "601-583-1559",
            "fax_number": "601-579-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCK",
        "first_name": "LEAH",
        "middle_name": "BURCH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "29171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04921851",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lrock113607@directpatientrecord.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "201 Bay Avenue",
            "city": "Richton",
            "state": "MS",
            "country_code": "US",
            "postal_code": "39476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "BURCH",
            "middle_name": "BRIANNE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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All providers in Richton, MS · Family Medicine Physician in Mississippi