DR. LAWRENCE A. LEAKE MD
NPI 1124179767
Family Medicine in Pascagoula, MS
About Dr. Lawrence A. Leake Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LAWRENCE A. LEAKE MD (NPI 1124179767) is an individual family medicine provider in Pascagoula, Mississippi, licensed in Mississippi (13594) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 5
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Lawrence A. Leake Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lawrence Leake reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pascagoula, MS 39581
- Reassigned Medicare billing, Mississippi enrollment
- 450 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39581 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PASCAGOULA, MS 39581
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lawrence Leake's NPI number?
The NPI number for Lawrence Leake is 1124179767. It was assigned to this individual provider in the NPPES registry on January 12, 2007.
Where is Lawrence Leake located?
Lawrence Leake practices at 2809 Denny Ave, Pascagoula, MS 39581. The listed phone number is (228) 809-5000.
What is Lawrence Leake's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Lawrence Leake enrolled in Medicare?
Yes. Lawrence Leake is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Lawrence Leake's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lawrence Leake reassigns Medicare benefits to Singing River Health System (Pascagoula, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lawrence Leake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lawrence Leake was last updated on January 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Lawrence A. Leake, MD · NPI 1124179767
Family Medicine physician in Pascagoula, Mississippi. Individual provider, active in the CMS NPPES registry since January 12, 2007.
## Identity
- **NPI:** 1124179767 (Entity type: Individual)
- **Enumerated:** January 12, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 13594 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 2809 DENNY AVE, Pascagoula, MS 39581-5301
- **Phone:** (228) 809-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Singing River Health System (NPI 1033238456, Pascagoula, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 11, 2021
- **Other identifiers:** Other 646000515; Medicaid 00112590 (MS); Medicaid 009926475 (AL); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1124179767) · Data from the CMS NPPES public registry.