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LINE STREET MEDICAL, LLC
NPI 1821560327
Nurse Practitioner - Family in Philadelphia, MS

Active since December 20, 2018
562 LINE ST S STE 1, PHILADELPHIA, MS 39350(601) 562-6363 Get Directions Write a Review

NPPES record last updated: April 30, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 3, 2020, Feb 24, 2020, Dec 20, 2018 (3 updates tracked since 2018).

About Line Street Medical, Llc NPPES

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

LINE STREET MEDICAL, LLC (NPI 1821560327) is a healthcare organization registered as a family in Philadelphia, Mississippi and active in the NPI registry since December 2018. The organization lists Leah Denise Phillips, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1821560327
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameLINE STREET MEDICAL, LLC
Location Address562 LINE ST S STE 1Philadelphia, MS 39350-2144
Mailing Address562 Line St S Ste 1Philadelphia, MS 39350-2144
Phone(601) 562-6363
Organization SubpartNo
Authorized OfficialLeah Denise PhillipsNurse Practitioner · (601) 562-6363
Enumeration DateDecember 20, 2018
Last NPPES UpdateApril 30, 20203 updates tracked since enumeration
NPPES CertifiedApril 30, 2020
✔ NPI 1821560327 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
562 LINE ST S STE 1, Philadelphia, MS 39350
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Other Identifiers 1

Medicaid00724810MS

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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SIERRA CAIN NP-C
Nurse Practitioner (Family)
562 LINE ST S STE 1
PHILADELPHIA, MS 39350
Neshoba County (601) 504-6430

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 Line Street Medical, LLC's NPI number?

The NPI number for Line Street Medical, LLC is 1821560327. It was assigned to this organization in the NPPES registry on December 20, 2018.

Where is Line Street Medical, LLC located?

Line Street Medical, LLC is located at 562 Line St S Ste 1, Philadelphia, MS 39350. The listed phone number is (601) 562-6363.

What is Line Street Medical, LLC's specialty?

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

What insurance does Line Street Medical, LLC accept?

Health plans from Molina Healthcare list Line Street Medical, LLC 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 Line Street Medical, LLC was last updated on April 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.