Leslie Jeffcoat
Individual provider Active NPI Family Nurse Practitioner · Laurel, MS
NPI 1679932388 · NPPES record last updated Aug 5, 2026
Key facts
- NPI
- 1679932388
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 901443 (MS)
- Practice address
- 1220 Jefferson St
Laurel, MS 39440-4355 - Phone
- (601) 426-4705
- Fax
- (601) 426-4100
- NPI assigned
- Feb 23, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Relias Emergency Medicine Specialists of Hattiesburg LLC
Practice addresses (Care Compare)
6051 U S Hwy 49
Hattiesburg, MS 39401-7200
Phone (601) 288-7000
Hospital & facility affiliations
- Forrest General Hospital
- South Central Reg Med Ctr
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160414000887 | MS | Practitioner - Nurse Practitioner | 9830497486 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Relias Emergency Medicine Specialists of Hattiesburg LLC | Current |
Accepting new patients | |
| South Central Clinics, Inc | Current |
Accepting new patients | |
| South Central Clinics, Inc | Current | Accepting new patients | |
| South Central Clinics, Inc | Current |
Accepting new patients |
Locations
1203 B Ave
Ellisville, MS 39437
Phone (601) 477-8553
6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690
1220 Jefferson St
Laurel, MS 39440
Phone (601) 426-4000
Interoperability endpoints
- leslie.jeffcoat@direct.scrmc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 901443 | MS | Yes |
Addresses
Primary practice location
1220 Jefferson St
Laurel, MS 39440-4355
Mailing address
PO Box 247
Laurel, MS 39441-0247
Phone (601) 426-4705
Other providers in Laurel, MS
- La'Daija Jackson
- Melanie Jacobsen
- Melissa James
- Bonita Nicole Jaynes
- Tina A Jefcoat
- Jefferson Medical Associates
- Jefferson Neurology Clinic, LLC
- Brandi Jefferson
- Jeffersonr LLC
- Annie Elizabeth Jenkins
All providers in Laurel, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.