Leanne Terrell Bynum, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R793779 Issued in MS

Practice address

27 S Sixth St # a
Bay Springs, MS 39422-9052

Phone

(601) 764-2155

Fax

(601) 764-2150

NPI assigned

Apr 15, 2010

Last updated

Dec 13, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Leanne Terrell Davis Other name

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

Specialty

Nurse Practitioner

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jasper General HospitalGroup PAC ID 1052487105, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jasper General Hospital Hospital, Bay Springs, MS, CCN 250018
• South Central Reg Med Ctr Hospital, Laurel, MS, CCN 250058

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/jasper-5bfe62f3

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.

• Jasper General Hospital

  dba Family Medical Clinic

  • Family Medicine Physician
  • Bay Springs, MS
  • NPI 1770660920
  Medicare reassignment Care Compare group NPD
• Jasper General Hospital

  dba Jasper County After Hours Clinic

  • Rural Health Clinic/Center
  • Bay Springs, MS
  • NPI 1245870823
  NPD
• Jasper General Hospital

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Bay Springs, MS
  • NPI 1023118817
  NPD (past)

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

• Jasper General Hospital

  • General Acute Care Hospital
  • Bay Springs, MS
  • NPI 1396730164
  Care Compare affiliation
• South Central Regional Medical Center

  • General Acute Care Hospital
  • Laurel, MS
  • NPI 1619973542
  Care Compare affiliation

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1467778423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1729",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394031729",
            "telephone_number": "601-545-3700",
            "fax_number": "601-450-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 S SIXTH ST # A",
            "city": "BAY SPRINGS",
            "state": "MS",
            "postal_code": "394229052",
            "telephone_number": "601-764-2155",
            "fax_number": "601-764-2150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "598 W 11th Ave",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "MS",
            "postal_code": "394552350",
            "country_code": "US",
            "telephone_number": "601-736-4215",
            "fax_number": "601-736-9437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYNUM",
        "first_name": "LEANNE",
        "middle_name": "TERRELL",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-15",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R793779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEANNE",
            "last_name": "DAVIS",
            "middle_name": "TERRELL",
            "prefix": "MS.",
            "credential": "FNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• A Keith Lay Jr MD (Bay Springs After Hours Clinic)
• Annie's Angels, LLC
• Bay Springs Eye Care LLC
• Shannon Lane Brown, COTA
• Melissa Carruth
• Mary E Clawson, M.D.
• Courtney Covin
• Mark A Deloach, MD
• Jessica Haley Dew

• Family Nurse Practitioner in Bay Springs, MS
• Providers in Bay Springs, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.