NORTH LAUREL FAMILY MEDICINE, LLC
NPI 1265921985
Nurse Practitioner in Laurel, MS

Q: What is North Laurel Family Medicine, LLC's NPI number?

The NPI number for North Laurel Family Medicine, LLC is 1265921985. It was assigned to this organization in the NPPES registry on May 8, 2018.

Q: What is North Laurel Family Medicine, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since May 08, 2018

3115 AUDUBON DR, LAUREL, MS 39440(601) 531-2200(601) 531-2220 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 4, 2019, Jan 29, 2019, Jan 21, 2019 and 2 more (5 updates tracked since 2018).

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About North Laurel Family Medicine, Llc NPPES

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

NORTH LAUREL FAMILY MEDICINE, LLC (NPI 1265921985) is a healthcare organization registered as a nurse practitioner in Laurel, Mississippi and active in the NPI registry since May 2018. The organization maintains a secondary practice location in Sandersville and lists Hope Jackson, Billing/credentialing, as its authorized official.

NPPES Registry Identity

NPI1265921985

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameNORTH LAUREL FAMILY MEDICINE, LLC

Location Address3115 AUDUBON DRLaurel, MS 39440

Mailing Address3115 Audubon DrLaurel, MS 39440-1913 · (601) 531-2200 · Fax (601) 531-2220

Phone(601) 531-2200

Fax(601) 531-2220

Organization SubpartNo

Authorized OfficialHope JacksonBilling/credentialing · (601) 498-4673

Enumeration DateMay 8, 2018

Last NPPES UpdateJanuary 16, 20255 updates tracked since enumeration

NPPES CertifiedJanuary 14, 2025

✔ NPI 1265921985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

3115 AUDUBON DR, Laurel, MS 39440

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Secondary Practice Location 1

Location 1109 N Front StreetSandersville, MS 39477 · Phone (601) 490-7190 · Fax (601) 490-7191

Other Identifiers 1

Medicaid08886271MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

North Laurel Family Medicine, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 10 clinicians reassign Medicare billing to North Laurel Family Medicine, LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 6 within 10 miles. They are listed nearest first.