North Laurel Family Medicine, LLC
NPI 1265921985ActiveOrganization· Nurse Practitioner· Laurel, MS
Nurse Practitioner in Laurel, Mississippi, registered in NPPES in May 2018. The authorized official on file is Hope Jackson, Billing/Credentialing. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1265921985 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 8, 2018 |
| Last updated in NPPES | Jan 16, 2025 |
| Certified by provider | Jan 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
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