121 Medical Place, Inc
NPI 1588106553 · Community Health Clinic/Center · Mendenhall, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
121 Medical Place, Inc is a Community Health Clinic/Center organization in Mendenhall, MS (NPI 1588106553).
Provider details
- NPI number
- 1588106553
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shelley Leach, President(601) 906-1897
- License
- R863242 (MS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-11-08
- Last updated
- 2025-08-06
- Certified
- 2025-08-06
Frequently asked questions
- What is 121 Medical Place, Inc's NPI number?
- 121 Medical Place, Inc's National Provider Identifier (NPI) is 1588106553, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 121 Medical Place, Inc?
- 121 Medical Place, Inc is classified in the NPPES registry as Community Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is 121 Medical Place, Inc located?
- 121 Medical Place, Inc's practice location on file with NPPES is 820 Mangum Ave, Mendenhall, MS 39114-3025.
- What is 121 Medical Place, Inc's phone number?
- The practice phone number listed in the NPPES registry for 121 Medical Place, Inc is (601) 906-1897.
- Does 121 Medical Place, Inc accept Medicare?
- 121 Medical Place, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for 121 Medical Place, Inc?
- The authorized official listed on 121 Medical Place, Inc's NPPES record is Shelley Leach, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 121 Medical Place, Inc's NPI active?
- Yes — 121 Medical Place, Inc's NPI (1588106553) is active in the NPPES registry as of the last update on 2025-08-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.