Individual provider Active NPI

Leslie Kay Eaton

  • Family Nurse Practitioner
  • New Albany, MS
National Provider Identifier
1417504796
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
903492 Issued in MS
Practice address
300 Oxford Rd
New Albany, MS 38652-3117
Phone
(662) 534-8166
NPI assigned
Aug 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 903492 MS Primary

Addresses

Primary practice location

300 Oxford Rd
New Albany, MS 38652-3117

Mailing address

3061 County Road 602
Dumas, MS 38625-9713
Phone (662) 587-0211

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
I20200404000343 MS Practitioner - Nurse Practitioner 7416386925 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Associates LLCGroup PAC ID 9234156985, 208 clinicians

Practice addresses (Care Compare)

200 State Hwy 30 W
New Albany, MS 38652-3112
Phone (662) 538-7631

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
903492MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians LLC CurrentSince Nov 7, 2023 Accepting new patients
Family Clinic of New Albany Family CurrentSince Jun 6, 2020 Accepting new patients
Chris Park DO PC CurrentSince Jun 27, 2023 Accepting new patients
Hospital Medicine Associates LLC CurrentSince Oct 1, 2022 Accepting new patients
Lauderdale Medical Group PLLC PastSince Oct 22, 2023 Accepting new patients

Locations

474 W Bankhead St
New Albany, MS 38652
Phone (662) 534-3050

200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631

47 S Main St
Pontotoc, MS 38863
Phone (662) 499-2802

11 E Jefferson St
Pontotoc, MS 38863
Phone (662) 419-1260

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

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 1

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": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1417504796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3061 COUNTY ROAD 602",
            "city": "DUMAS",
            "state": "MS",
            "postal_code": "386259713",
            "telephone_number": "662-587-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 OXFORD RD",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523117",
            "telephone_number": "662-534-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EATON",
        "first_name": "LESLIE",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, MS

Sources for this page

Verify at the official NPI Registry.