Individual provider Active NPI

Leah Denise Phillips, FNP

  • Nurse Practitioner
  • Meridian, MS
National Provider Identifier
1689158909
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
902939 Issued in MS
Practice address
1314 19TH Ave
Meridian, MS 39301-4116
Phone
(601) 483-0011
NPI assigned
Sep 21, 2018
Last updated
Mar 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 902939 MS Primary

Addresses

Primary practice location

1314 19TH Ave
Meridian, MS 39301-4116

Mailing address

562 Line St S
Ste 1
Philadelphia, MS 39350-2144
Phone (601) 504-6430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181105001073 MS Practitioner - Nurse Practitioner 7719230929 Reassigns benefits to 9 organizations
I20250708004492 TX Practitioner - Nurse Practitioner 7719230929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

210 Hospital Cir
Choctaw, MS 39350-6781
Phone (601) 389-4500

210 Hospital Circle
Choctaw, MS 39350-6781

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
902939MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mississippi Band of Choctaw Indians Current Accepting new patients
Laird Hospital, Inc. CurrentSince Oct 10, 2018 Accepting new patients
Scott Regional Medical Center, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Mississippi Band of Choctaw Indians CurrentSince Apr 10, 2025 Accepting new patients
Mississippi Band of Choctaw Indians Current Accepting new patients
Kemper Cah, Inc CurrentSince Oct 10, 2018 Accepting new patients
Rush Medical Foundation CurrentSince Oct 10, 2018 Accepting new patients
Kemper Cah, Inc. CurrentSince Oct 10, 2018 Accepting new patients
Laird Hospital, Inc. CurrentSince Oct 10, 2018 Accepting new patients
Mississippi Band of Choctaw Indians CurrentSince Apr 10, 2025 Accepting new patients
Rush Medical Foundation Current Accepting new patients
Medical Foundation, Inc. Nurse Practitioner CurrentSince Jan 1, 2019 Accepting new patients
Scott Regional Medical Center, Inc Current Accepting new patients
Scott Regional Medical Center, Inc. CurrentSince Oct 10, 2018 Accepting new patients
Kemper Cah, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Mississippi Band of Choctaw Indians Current Accepting new patients
Laird Hospital, Inc. Current Accepting new patients
Rush Medical Foundation CurrentSince Oct 10, 2018 Accepting new patients
Scott Regional Medical Center, Inc. CurrentSince Oct 10, 2018 Accepting new patients

Locations

1930 N Pearl St
Carthage, MS 39051
Phone (601) 287-6639

210 Hospital Cir
Choctaw, MS 39350
Phone (601) 389-4500

9097 Collinsville Rd
Collinsville, MS 39325
Phone (601) 626-8874

376 Campus Rd
Conehatta, MS 39057
Phone (601) 389-4500

14365 Highway 16 W
De Kalb, MS 39328
Phone (769) 486-1000

1314 19th Ave
Meridian, MS 39301
Phone (601) 483-0011

2401 16th St
Meridian, MS 39301
Phone (601) 482-4181

317 Highway 13 S
Morton, MS 39117
Phone (601) 732-6301

124 Big Creek Cir
Philadelphia, MS 39350
Phone (601) 389-4500

603 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-2123

605 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-6925

25117 Highway 15
Union, MS 39365
Phone (601) 774-8214

Organizations & group practices 19

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.

View all 19

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": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1689158909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 LINE ST S",
            "address_2": "STE 1",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502144",
            "telephone_number": "601-504-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 19TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014116",
            "telephone_number": "601-483-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "LEAH",
        "middle_name": "DENISE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-21",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "902939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.