Individual provider Active NPI

Leigh Ann Landy, FNP-C

  • Primary Care Nurse Practitioner
  • Collierville, TN
National Provider Identifier
1386990299
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
R867660 Issued in MS
Practice address
777 W Poplar Ave
Collierville, TN 38017-2592
Phone
(901) 221-7175
Fax
(901) 221-7913
NPI assigned
Jul 29, 2012
Last updated
Jan 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X R867660 MS Primary

Addresses

Primary practice location

777 W Poplar Ave
Collierville, TN 38017-2592

Mailing address

777 W Poplar Ave
Collierville, TN 38017-2592
Phone (901) 221-7175

Other names 1

  • Leigh Ann Weatherly Former name

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
I20121106000490 MS Practitioner - Nurse Practitioner 9436300167 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Express Care of Cleveland, LLCGroup PAC ID 0547502387, 14 clinicians
Medplus New Albany LLCGroup PAC ID 6002258720, 5 clinicians
Medplus Urgent Clinic LLCGroup PAC ID 0648586487, 7 clinicians

Practice addresses (Care Compare)

1515 University Ave
Oxford, MS 38655-4033
Phone (662) 238-0011

180 Park Plaza Dr
New Albany, MS 38652-3127
Phone (662) 222-2273

874 Barnes Crossing Rd
Tupelo, MS 38804-0909
Phone (662) 841-0002

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medplus New Albany LLC Primary Care CurrentSince Oct 15, 2025 Accepting new patients
Southern Medical Consultants LLC Primary Care CurrentSince Apr 1, 2025 Accepting new patients
Medplus Fulton , LLC Current Accepting new patients
Medplus Starkville LLC Primary Care CurrentSince Oct 15, 2025 Accepting new patients
Express Care of Cleveland, LLC CurrentSince Mar 18, 2025 Accepting new patients
Medplus Urgent Clinic LLC Primary Care CurrentSince Oct 15, 2025 Accepting new patients

Locations

108 Four LN Hwy 49
Bentonia, MS 39040
Phone (662) 998-8900

609 N Davis Ave
Ste 105
Cleveland, MS 38732
Phone (662) 579-3958

180 Park Plaza Dr
New Albany, MS 38652
Phone (662) 222-2273

1515 University Ave
Oxford, MS 38655
Phone (662) 238-0011

7048 Old Canton Rd
Ste 2E
Ridgeland, MS 39157
Phone (601) 919-0972

3558A W Main St
Tupelo, MS 38801
Phone (662) 346-8091

874 Barnes Crossing Rd
Tupelo, MS 38804
Phone (662) 841-0002

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBJABD

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1343520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1386990299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 W POPLAR AVE",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172592",
            "telephone_number": "901-221-7175",
            "fax_number": "901-221-7913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 W POPLAR AVE",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172592",
            "telephone_number": "901-221-7175",
            "fax_number": "901-221-7913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDY",
        "first_name": "LEIGH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-29",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MS",
            "license": "R867660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEIGH",
            "last_name": "WEATHERLY",
            "middle_name": "ANN",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Collierville, TN

Sources for this page

Verify at the official NPI Registry.