Active NPI
Latosha Laird, AGNP-C
- Adult Health Nurse Practitioner
- Byram, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 907449
- Practice address
- 130 Southpointe Dr Ste D
Byram, MS 39272-5528 - Phone
- (601) 863-0258
- Fax
- (601) 990-4288
- NPI assigned
- May 19, 2025
- Last updated
- Aug 7, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 907449 | MS | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | 907449 | MS |
Addresses
Primary practice location
130 Southpointe Dr Ste D
Byram, MS 39272-5528
Mailing address
130 Southpointe Dr Ste D
Byram, MS 39272-5528
Phone (601) 863-0258
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
409 Bald Cypress CV
Terry, MS 39170-6002
901 Hugh Wallis Rd S
Lafayette, LA 70508-2511
PO Box
Lafayette, LA 70505
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 907449 | MS | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calora Health Services LLC | Current | Accepting new patients | |
| Proficient Health & Wellness Clinic LLC | Current | Accepting new patients | |
| Elite Case Management Agency LLC | Current | Accepting new patients | |
| Proficient Healthcare Staffing LLC | Current | Accepting new patients |
Locations
130 Southpointe Dr
Ste D
Byram, MS 39272
6791 S Siwell Rd
Ste B
Byram, MS 39272
Phone (601) 863-0258
1450 County Farm Rd
Raymond, MS 39154
Phone (601) 863-0258
Organizations & group practices 4
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.
-
- Primary Care Clinic/Center
- Byram, MS
- NPI 1548132087
-
- Primary Care Clinic/Center
- Byram, MS
- NPI 1730074352
-
- State or Local Public Health Clinic/Center
- Raymond, MS
- NPI 1932850229
-
- General Practice Physician
- Jackson, MS
- NPI 1871221549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786060800000",
"number": "1609668540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 SOUTHPOINTE DR STE D",
"city": "BYRAM",
"state": "MS",
"postal_code": "392725528",
"telephone_number": "601-863-0258",
"fax_number": "601-990-4288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 SOUTHPOINTE DR STE D",
"city": "BYRAM",
"state": "MS",
"postal_code": "392725528",
"telephone_number": "601-863-0258",
"fax_number": "601-990-4288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAIRD",
"first_name": "LATOSHA",
"credential": "AGNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-19",
"last_updated": "2026-08-07",
"certification_date": "2026-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MS",
"license": "907449",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MS",
"license": "907449",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Byram, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.