Organization · Type 2 NPI

Baptist Medical Center-Leake, Inc

Rural Health Clinic/Center · Walnut Grove, MS

NPI number 1649546342 Active

Practice location

17509 Highway 21
Walnut Grove, MS 39189-6505

Call (601) 267-1320 Map

Mailing address

350 N Humphreys Blvd
Memphis, TN 38120-2177

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed
Family Nurse Practitioner	363LF0000X	None listed

Rural Health Clinic/Center: Definition to come...

Other rural health clinic/center providers in Walnut Grove

Baptist Medical Center-Leake, IncRural Health Clinic/Center Walnut Grove, MS NPI 1548310782

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NPI record

NPI: 1649546342
Entity type: Organization (Type 2)
Issued: Mar 27, 2012
Last updated: Oct 15, 2025
Status: Active
Subpart: Yes of Baptist Memorial Health Care Corp.

Other names

<unavail>
BMC Leake Sebastopol Primary Care · doing business as
BMC Leake Madden Primary Care · doing business as

Authorized official

Gregory M Duckett
SR VP/clo
(901) 227-5233

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1649546342

Baptist Medical Center-Leake, Inc's National Provider Identifier is 1649546342, issued on Mar 27, 2012. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Walnut Grove, MS. The record was last updated on Oct 15, 2025.