Individual provider Active NPI

Leslie F Mason, M.D.

  • Obstetrics & Gynecology Physician
  • Madison, MS
National Provider Identifier
1275731929
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
21521 Issued in MS
Practice address
115 Fountains Blvd
Suite a
Madison, MS 39110-6344
Phone
(601) 853-0100
Fax
(601) 853-3999
NPI assigned
Jul 4, 2007
Last updated
Jun 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 21521 MS Primary

Addresses

Primary practice location

115 Fountains Blvd
Suite a
Madison, MS 39110-6344

Mailing address

115 Fountains Blvd
Suite a
Madison, MS 39110-6344
Phone (601) 853-0100

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
I20121109000255 MS Practitioner - Obstetrics/Gynecology 6406007996 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Mississippi School of Medicine, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Madison OB/GYN Associates, LLCGroup PAC ID 3274785746, 2 clinicians

Practice addresses (Care Compare)

115 Fountains Blvd
Suite a
Madison, MS 39110-6344
Phone (601) 853-0100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21521MSMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Mississippi, P.C. Obstetrics & Gynecology CurrentSince Apr 17, 2020 Accepting new patients

Locations

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

Interoperability endpoints

  • Direct secure messaging: lmason5345141@direct.casso.us.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1183507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1275731929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 FOUNTAINS BLVD",
            "address_2": "SUITE A",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106344",
            "telephone_number": "601-853-0100",
            "fax_number": "601-853-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 FOUNTAINS BLVD",
            "address_2": "SUITE A",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106344",
            "telephone_number": "601-853-0100",
            "fax_number": "601-853-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "LESLIE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-04",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "21521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, MS

Sources for this page

Verify at the official NPI Registry.