NPIMap

Individual provider Active NPI

Laurence L Dennis, MD

  • Internal Medicine Physician
  • Booneville, MS
National Provider Identifier
1760466262
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13641 Issued in MS
Practice address
202 N 1St St
Ste a
Booneville, MS 38829-2718
Phone
(662) 340-1138
Fax
(662) 728-5185
NPI assigned
Nov 30, 2005
Last updated
May 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 13641 MS Primary

Addresses

Primary practice location

202 N 1St St
Ste a
Booneville, MS 38829-2718

Mailing address

350 N Humphreys Blvd
Memphis, TN 38120-2177
Phone (901) 226-4003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040701001393 MS Practitioner - Internal Medicine 9032196886 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Tennessee, HSC, College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Ms Internal Medicine PCGroup PAC ID 6507843356, 6 clinicians

Practice addresses (Care Compare)

202 N 1St St
Booneville, MS 38829-2718
Phone (662) 340-1138

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13641MSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Strategic Solutions-Panola Medical Center LLC CurrentSince Jan 1, 2021 Accepting new patients
Baptist Memorial Medical Group Inc Internal Medicine CurrentSince Oct 1, 2025 Accepting new patients
Northeast Ms Internal Medicine PC Internal Medicine CurrentSince Oct 1, 2002 Accepting new patients
Strategic Solutions-Panola Medical Center LLC CurrentSince Jan 1, 2021 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Oct 1, 2025 Accepting new patients
Trina Health of Booneville, Inc. Past Accepting new patients
Baptist Memorial Hospital-Booneville, Inc. Past Accepting new patients
The Landmark Nursing Center Inc. Past Accepting new patients
Union County Health & Rehabilitation Center, Inc. Past Accepting new patients

Locations

255 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-2163

100 Hospital St
Ste D2
Booneville, MS 38829
Phone (601) 728-4351

202 N 1st St
Booneville, MS 38829
Phone (662) 287-5218

202 N 1st St
Ste A
Booneville, MS 38829
Phone (662) 340-1138

202 N 1st St
Ste B
Booneville, MS 38829
Phone (662) 287-5218

369 Highway 72
Burnsville, MS 38833
Phone (662) 279-2077

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

350 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 226-4003

Interoperability endpoints

  • Direct secure messaging: laurence.dennis.1@19675.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Union County Health & Rehabilitation Center, Inc.New Albany, MS, CCN 255312 Skilled nursing facility Contracted Managing Employee
Adp of the SNF		 Jan 1, 2020
Jan 16, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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.

Hospital & facility affiliations 10

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1760466262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N HUMPHREYS BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202177",
            "telephone_number": "901-226-4003",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N 1ST ST",
            "address_2": "STE A",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388292718",
            "telephone_number": "662-340-1138",
            "fax_number": "662-728-5185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "LAURENCE",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "13641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Booneville, MS

Sources for this page

Verify at the official NPI Registry.