Individual provider Active NPI

Lea Ann Byrd, APRN

  • Nurse Practitioner
  • Marks, MS
National Provider Identifier
1407109945
Registry record updated Jun 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R823849 Issued in MS
Practice address
1024 Martin Luther King Dr
Marks, MS 38646-1832
Phone
(662) 326-3500
NPI assigned
Oct 22, 2012
Last updated
Jun 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R823849 MS Primary

Addresses

Primary practice location

1024 Martin Luther King Dr
Marks, MS 38646-1832

Mailing address

PO Box 289
Marks, MS 38646-0289
Phone (662) 326-3500

Other identifiers 1

IdentifierTypeStateIssuer
06678813MedicaidMS

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
I20151221001960 MS Practitioner - Nurse Practitioner 0244479194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

705 N State St
Clarksdale, MS 38614-6519
Phone (662) 627-2973

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82 of 100Reported as individual
Quality
68.78
Improvement activities
40
Cost
74.83

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Byrd Family Medical Clinic CurrentSince Apr 1, 2018 Accepting new patients

Locations

705 N State St
Clarksdale, MS 38614
Phone (662) 621-2192

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17623/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lea.byrd.1@17623.direct.athenahealth.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 6

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": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433894400000",
    "number": "1407109945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 289",
            "city": "MARKS",
            "state": "MS",
            "postal_code": "386460289",
            "telephone_number": "662-326-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 MARTIN LUTHER KING DR",
            "city": "MARKS",
            "state": "MS",
            "postal_code": "386461832",
            "telephone_number": "662-326-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "LEA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-22",
        "last_updated": "2015-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R823849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06678813",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marks, MS

Sources for this page

Verify at the official NPI Registry.