Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lea Womack, AGNP

Individual provider Nurse Practitioner · NPI 1649736919

Lea Womack, AGNP is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2018, 8 years ago. Practices with St Dominic Medical Associates LLC, a 127-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
8
Licensed in
MS
In the registry since
2019
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

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Practice location Address checks out

971 Lakeland Dr Ste 250
Jackson, MS 39216-4620
Phone: (601) 200-5864
Fax: (601) 200-0579
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 971 Lakeland Dr Ste 557, Jackson, MS 39216-4661 — (601) 200-4560

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 903157 (MS)

Record details

NPI number1649736919
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP
Sole proprietorNo
NPI enumeratedFebruary 12, 2019
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026
Mailing address5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice St. Dominic Medical Associates Llc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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