Individual provider Active NPI

Lauren Johnson McLeod, PA-C

  • Physician Assistant
  • Jackson, MS
National Provider Identifier
1649970252
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA00707 Issued in MS
Practice address
1190 N State St Ste 502
Jackson, MS 39202-2414
Phone
(601) 944-1781
Fax
(601) 353-0439
NPI assigned
Mar 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA00707 MS Primary

Addresses

Primary practice location

1190 N State St Ste 502
Jackson, MS 39202-2414

Mailing address

1001 Pevey LN
Crystal Springs, MS 39059-9393
Phone (601) 278-1536

Other practice location 1

27190 Highway 28
Hazlehurst, MS 39083-2224
Phone (601) 574-7000

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
I20230403001785 MS Practitioner - Physician Assistant 1153796263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Surgical Associates PLLCGroup PAC ID 1355359506, 27 clinicians

Practice addresses (Care Compare)

1190 N State St
Suite 502
Jackson, MS 39202-2414
Phone (601) 944-1781

Hospital & facility affiliations

  • Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102

Merit-based Incentive Payment System (MIPS)

Final score
96.34 of 100Reported as group
Quality
80.8
Promoting interoperability
100
Improvement activities
40
Cost
76.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

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 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": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1649970252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 PEVEY LN",
            "city": "CRYSTAL SPRINGS",
            "state": "MS",
            "postal_code": "390599393",
            "telephone_number": "601-278-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 N STATE ST STE 502",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022414",
            "telephone_number": "601-944-1781",
            "fax_number": "601-353-0439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27190 Highway 28",
            "address_purpose": "LOCATION",
            "city": "Hazlehurst",
            "state": "MS",
            "postal_code": "390832224",
            "country_code": "US",
            "telephone_number": "601-574-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "LAUREN",
        "middle_name": "JOHNSON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MS",
            "license": "PA00707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.