Shelley S Leach, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R863242 Issued in MS

Practice address

820 Mangum Ave
Mendenhall, MS 39114

Phone

(601) 847-5111

Fax

(601) 847-3060

NPI assigned

Aug 27, 2009

Last updated

Aug 6, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Exceed Physical Therapy, LLCGroup PAC ID 8123378338, 72 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Flowood, MS, CCN 257126
• Sta Home Health Agency of Jackson, Inc. Dba Accentcare Home Health of Jackson Home health agency, Clinton, MS, CCN 257102
• Simpson General Hospital Cah Hospital, Mendenhall, MS, CCN 251317
• Magee General Hospital Hospital, Magee, MS, CCN 250124

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• 121 Medical Place, Inc

  • Community Health Clinic/Center
  • Mendenhall, MS
  • NPI 1588106553
  Medicare reassignment NPD Authorized official
• Simpson Community Healthcare, Inc.

  dba Simpson General Hospital

  • Critical Access Hospital
  • Mendenhall, MS
  • NPI 1144339839
  Medicare reassignment NPD
• Exceed Physical Therapy, LLC

  • Physical Therapist
  • Gulfport, MS
  • NPI 1023508348
  Care Compare group
• Simpson Community Healthcare Inc.

  dba SGH Drive-Thru Clinic

  • Rural Health Clinic/Center
  • Mendenhall, MS
  • NPI 1619630001
  NPD
• Simpson Community Healthcare, Inc

  dba Harrisville Medical Clinic

  • Rural Health Clinic/Center
  • Florence, MS
  • NPI 1356427843
  NPD
• Amnuey M Chiemprabha MD PA

  dba Doctors Clinic

  • Family Medicine Physician
  • Mendenhall, MS
  • NPI 1346300423
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Home Health Care Affiliates of Central Mississippi, LLC

  dba CenterWell Home Health

  • Home Health Agency
  • Flowood, MS
  • NPI 1417935578
  Care Compare affiliation
• Simpson Community Healthcare, Inc.

  dba Simpson General Hospital

  • Critical Access Hospital
  • Mendenhall, MS
  • NPI 1144339839
  Care Compare affiliation
• South Central Regional Medical Center

  dba Magee General Hospital

  • General Acute Care Hospital
  • Magee, MS
  • NPI 1679553994
  Care Compare affiliation
• Sta-Home Health Agency of Jackson, Inc.

  dba AccentCare Home Health of Jackson

  • Home Health Agency
  • Clinton, MS
  • NPI 1356482749
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1760615595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 MANGUM AVE",
            "city": "MENDENHALL",
            "state": "MS",
            "postal_code": "39114",
            "telephone_number": "601-847-5111",
            "fax_number": "601-847-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 MANGUM AVE",
            "city": "MENDENHALL",
            "state": "MS",
            "postal_code": "39114",
            "telephone_number": "601-847-5111",
            "fax_number": "601-847-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACH",
        "first_name": "SHELLEY",
        "middle_name": "S",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R863242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobbie Hughes
• Amy Jenkins
• Penelope Jones
• Kimberly Blair Smith DMD PA
• Nakecia Dungan Kinabrew, FNP-BC
• Peyton Lovelace
• Leanna Maddox
• Shenika Magee, PMHNP
• Maison de Jorice LLC. Dba/ Allure Health
• McGuffee Drugs Inc

• Family Nurse Practitioner in Mendenhall, MS
• Providers in Mendenhall, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.

Verify at the official NPI Registry.