Individual provider Active NPI

Paula Leigh Bland, AGNP

  • Family Nurse Practitioner
  • Jackson, MS
National Provider Identifier
1902322787
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902236 Issued in MS
Practice address
5005 Old Canton Rd
Jackson, MS 39211-5421
Phone
(999) 999-9999
NPI assigned
Aug 14, 2017
Last updated
Aug 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 902236 MS
Adult Health Nurse Practitioner 363LA2200X 902236 MS
Family Nurse Practitioner 363LF0000X 902236 MS Primary
Primary Care Nurse Practitioner 363LP2300X 902236 MS

Addresses

Primary practice location

5005 Old Canton Rd
Jackson, MS 39211-5421

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038

Other practice location 1

129 Fountains Blvd
Madison, MS 39110-6344
Phone (769) 300-0730

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
I20180319000973 MS Practitioner - Nurse Practitioner 5890057459 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
RH Mississippi Hospitalist Medicine LLCGroup PAC ID 0547791873, 74 clinicians

Practice addresses (Care Compare)

106 Highland Way
Madison, MS 39110-6933

969 Lakeland Dr
Jackson, MS 39216-4606
Phone (601) 200-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.38 of 100Reported as group
Quality
54.22
Promoting interoperability
100
Improvement activities
40
Cost
73.72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
902236MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Pain Center of Mississippi CurrentSince Dec 9, 2017 Accepting new patients
St Dominic Medical Associates LLC CurrentSince Sep 1, 2025 Accepting new patients
St. Dominic Medical Associates LLC CurrentSince Sep 1, 2025 Accepting new patients
RH Mississippi Hospitalist Medicine, LLC CurrentSince May 1, 2025 Accepting new patients
St Dominic Medical Associates LLC Family Past Accepting new patients

Locations

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

969 Lakeland Dr
Jackson, MS 39216
Phone (601) 200-4644

106 Highland Way
Ste 202
Madison, MS 39110
Phone (601) 200-3376

129 Fountains Blvd
Madison, MS 39110
Phone (769) 300-0720

129 Fountains Blvd
Ste 201
Madison, MS 39110
Phone (769) 300-0730

Organizations & group practices 5

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 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": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1902322787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 OLD CANTON RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392115421",
            "telephone_number": "999-999-9999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "129 Fountains Blvd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "MS",
            "postal_code": "391106344",
            "country_code": "US",
            "telephone_number": "769-300-0730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAND",
        "first_name": "PAULA",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-14",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "902236",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MS",
            "license": "902236",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902236",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MS",
            "license": "902236",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.