BMC LEAKE CARTHAGE PRIMARY CARE
NPI 1194861260
Clinic/Center - Rural Health in Carthage, MS

Active since January 29, 2007CLIA 25D0317431 · Certificate of Compliance
1100 HWY 16 EAST, CARTHAGE, MS 39051(601) 267-1470(601) 267-1469 Get Directions Write a Review

NPPES record last updated: April 29, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 29, 2022, Sep 30, 2020, Dec 16, 2019 and 2 more (5 updates tracked since 2019).

About Bmc Leake Carthage Primary Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BMC LEAKE CARTHAGE PRIMARY CARE (NPI 1194861260) is a healthcare organization registered as a rural health in Carthage, Mississippi and active in the NPI registry since January 2007. The organization holds a CLIA Certificate of Compliance certificate valid through February 2, 2027 and lists Gregory M Duckett, Sr Vp/clo, as its authorized official.

NPPES Registry Identity

NPI1194861260
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameBAPTIST MEDICAL CENTER-LEAKE, INC.
Location Address1100 HWY 16 EASTCarthage, MS 39051-3809
Mailing Address350 N Humphreys BlvdMemphis, TN 38120-2177 · (601) 267-1470 · Fax (601) 267-1469
Fax(601) 267-1469
Organization SubpartYesParent: Baptist Memorial Health Care Corp.
Authorized OfficialGregory M DuckettSr Vp/clo · (901) 227-5233
Enumeration DateJanuary 29, 2007
Last NPPES UpdateApril 29, 20225 updates tracked since enumeration
NPPES CertifiedApril 29, 2022
✔ NPI 1194861260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in MS · 11187
1100 HWY 16 EAST, Carthage, MS 39051

Other Names 1

Doing Business AsBmc Leake Carthage Primary Care

Other Identifiers 1

Medicaid09016232MS

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bmc Leake Carthage Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

35

Medicare enrollment records show 35 clinicians reassign Medicare billing to Bmc Leake Carthage Primary Care, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 12 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Nurse Practitioner19
Diagnostic Radiology10
Family Practice3
Obstetrics/Gynecology2
Internal Medicine1

Nearest to this location (20)

See all 35
Nurse Practitioner
NPI 1538760897
1100 HIGHWAY 16 E
Carthage, MS 39051
(601) 267-1470
✔ PECOSSame address
Nurse Practitioner
NPI 1295106326
1100 HIGHWAY 16 E
Carthage, MS 39051
(601) 267-1470
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1700469012
1100 HIGHWAY 16 E
Carthage, MS 39051
(601) 267-1470
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1326580820
1100 HIGHWAY 16 E
Carthage, MS 39051
(601) 267-1470
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1194050153
1100 HIGHWAY 16 E
Carthage, MS 39051
(601) 267-1470
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1942778311
1100 HIGHWAY 16 E
Carthage, MS 39051
(601) 267-1470
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1609105196
1100 HIGHWAY 16 E
Carthage, MS 39051
(601) 267-1470
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1023187689
310 ELLIS ST
Carthage, MS 39051
(601) 267-1480
✔ PECOS✔ Accepts Medicare2.1 mi
Internal Medicine
NPI 1932158664
1071 E FRANKLIN ST
Carthage, MS 39051
(601) 267-4562
✔ PECOS✔ Accepts Medicare2.2 mi
Nurse Practitioner
NPI 1104860907
1100 HIGHWAY 16 E
Carthage, MS 39051
(601) 253-0173
✔ PECOS✔ Accepts Medicare4.3 mi
Family Practice
NPI 1073925244
1100 HIGHWAY 16 E
Carthage, MS 39051
(601) 267-1470
✔ PECOS✔ Accepts Medicare4.3 mi
Nurse Practitioner
NPI 1386164630
1100 HIGHWAY 16 E
Carthage, MS 39051
(601) 267-1406
✔ PECOS4.3 mi
Nurse Practitioner
NPI 1669450037
110 PARK STREET
Walnut Grove, MS 39189
(601) 253-0173
✔ PECOS✔ Accepts Medicare11 mi
Family Practice
NPI 1033196977
110 PARK STREET
Walnut Grove, MS 39189
(601) 253-0173
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1407884356
17509 HIGHWAY 21 SOUTH
Sebastopol, MS 39359
(601) 267-1320
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1437624566
332 HIGHWAY 12 W
Kosciusko, MS 39090
(662) 289-1900
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1881610756
1421 E PEACE ST
Canton, MS 39046
(601) 855-5275
✔ PECOS✔ Accepts Medicare28 mi
Nurse Practitioner
NPI 1386003937
1887 SPILLWAY RD
Brandon, MS 39047
(601) 992-5532
✔ PECOS✔ Accepts Medicare37 mi
Diagnostic Radiology
NPI 1689609794
113 W JACKSON ST STE B
Ridgeland, MS 39157
(601) 354-4327
✔ PECOS✔ Accepts Medicare39 mi
Obstetrics/Gynecology
NPI 1659307296
2100 HIGHWAY 61 N
Vicksburg, MS 39183
(601) 883-5000
✔ PECOS✔ Accepts Medicare78 mi
See all 35 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 25D0317431

Baptist Medical Center Leake · Carthage, MS
Active · expires Feb 2, 2027
CLIA Number25D0317431
Laboratory TypeHospital
Certificate Effective DateFebruary 3, 2025
Certificate Expiration DateFebruary 2, 2027
Laboratory DirectorDr. Anamaria Andrei
Laboratory Phone(601) 267-1230
Laboratory LocationBaptist Medical Center Leake1100 Hwy 16 East, Carthage, MS 39051
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Baptist Medical Center-Leake, Inc.'s NPI number?

The NPI number for Baptist Medical Center-Leake, Inc. is 1194861260. It was assigned to this organization in the NPPES registry on January 29, 2007. The provider is doing business as Bmc Leake Carthage Primary Care.

Where is Baptist Medical Center-Leake, Inc. located?

Baptist Medical Center-Leake, Inc. is located at 1100 Hwy 16 East, Carthage, MS 39051. The listed phone number is (601) 267-1470.

What is Baptist Medical Center-Leake, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Baptist Medical Center-Leake, Inc. enrolled in Medicare?

Yes. Baptist Medical Center-Leake, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Baptist Medical Center-Leake, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 35 clinicians in 5 Medicare specialties reassign their Medicare billing to Baptist Medical Center-Leake, Inc.. A 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 the clinician's services. The largest specialties are Nurse Practitioner (19), Diagnostic Radiology (10) and Family Practice (3). Of these, 5 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Baptist Medical Center-Leake, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D0317431) is associated with this NPI, valid through February 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Baptist Medical Center-Leake, Inc. accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Baptist Medical Center-Leake, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Baptist Medical Center-Leake, Inc. was last updated on April 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.