LEIGH ELLEN GAULT NP
NPI 1477104271
Nurse Practitioner - Family in Jackson, MS

Q: What is Leigh Gault's NPI number?

The NPI number for Leigh Gault is 1477104271. It was assigned to this individual provider in the NPPES registry on September 23, 2019.

Q: What is Leigh Gault's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: Is Leigh Gault enrolled in Medicare?

No. Leigh Gault has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Leigh Gault was last updated on January 31, 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.

Active since September 23, 2019Opted out of Medicare · through Apr 1, 2028

4500 I 55 N STE 128, JACKSON, MS 39211(601) 374-7411 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 31, 2022, Sep 15, 2021, Jul 14, 2021 and 1 more (4 updates tracked since 2019).

On this page

About Leigh Ellen Gault Np NPPES

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

LEIGH ELLEN GAULT NP (NPI 1477104271) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (903519) and active in the NPI registry since September 2019. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1477104271

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLEIGH ELLEN GAULTCredential: NP

Location Address4500 I 55 N STE 128Jackson, MS 39211-5960

Mailing Address104 Rosalie CtClinton, MS 39056-6053 · (601) 946-8888

Phone(601) 374-7411

Sole ProprietorNo

Enumeration DateSeptember 23, 2019

Last NPPES UpdateJanuary 31, 20224 updates tracked since enumeration

NPPES CertifiedJanuary 31, 2022

✔ NPI 1477104271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MS · 903519

4500 I 55 N STE 128, Jackson, MS 39211

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Leigh Ellen Gault Np has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2022 through April 1, 2028.

Opt-Out Effective DateApril 1, 2022

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39211 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Leigh Gault's NPI number?

The NPI number for Leigh Gault is 1477104271. It was assigned to this individual provider in the NPPES registry on September 23, 2019.

Where is Leigh Gault located?

Leigh Gault practices at 4500 I 55 N Ste 128, Jackson, MS 39211. The listed phone number is (601) 374-7411.

What is Leigh Gault's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Leigh Gault enrolled in Medicare?

No. Leigh Gault has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Leigh Gault was last updated on January 31, 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.