LESLIE KEVIN ETHRIDGE, D.C. — NPI 1598197584 (Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) in NEWTON, MS)

CMS-1500 Box 24J / 33a • NPI

1598197584

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

111NN0400X (CMS 35)

Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)

Box 32 Service Location & ZIP+4

124 FORD AVE, NEWTON, MS, 39345-2222

✓ 9-Digit EDI 837 ZIP+4 (39345-2222)

Practice Phone & Referral Fax

(601) 527-9707

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1598197584 (LESLIE KEVIN ETHRIDGE, D.C.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1598197584` (NPI-1 Individual Practitioner)
Provider / Legal Name	LESLIE KEVIN ETHRIDGE, D.C.
Plain-English Specialty	Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) NUCC Code: `111NN0400X` (Chiropractor, Neurology)
Certifying / Licensing Body	American Board of Psychiatry and Neurology (ABPN)
Practice Location Address	124 FORD AVE, NEWTON, MS, 39345-2222
Practice Telephone / Fax	Tel: (601) 527-9707
Administrative Mailing Address	124 FORD AVE, NEWTON, MS, 39345-2222
Enumeration & Last Sync	Enumerated: 2013-08-01 \| CMS Record Updated: 2013-08-01

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

124 FORD AVE, NEWTON, MS, 39345-2222

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Plain-English Taxonomy & CMS Crosswalk (111NN0400X)

What Does Taxonomy Code 111NN0400X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 111NN0400X translates to:
"Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 35 (Chiropractic)
Certifying / Accrediting Authority: American Board of Psychiatry and Neurology (ABPN)
Clinical Scope: Stroke recovery, chronic or severe migraines, seizures, numbness/tingling in hands or feet (neuropathy), tremors, memory loss, or suspected CSF leak.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (LESLIE KEVIN ETHRIDGE, D.C.)

Typical CPT / Diagnostic Procedures:

Electroencephalography (EEG — CPT 95816) for Seizure & Epilepsy Evaluation
Electromyography (EMG) & Nerve Conduction Studies (NCS)
Lumbar Puncture & Cerebrospinal Fluid (CSF) Pressure/Analysis
Acute Ischemic Stroke NIHSS Assessment & Neuroimaging Review

Common Therapeutic Classes:

CGRP Antagonists & Triptans (Sumatriptan, Rizatriptan) for Migraine
Antiepileptic Drugs (Levetiracetam, Lamotrigine, Valproate)
Levodopa/Carbidopa (Parkinson's Disease) & Gabapentin/Pregabalin (Neuropathy)
Antiplatelet & Secondary Stroke Prevention Regimens

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`111N00000X` — Chiropractor Plain English: Licensed & Credentialed Chiropractic Providers — Chiropractor	State: MS \| License: `1209` \| Primary: Secondary
`111NN0400X` — Chiropractor, Neurology Plain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)	State: MS \| License: `1209` \| Primary: Yes (Primary)
`111NN1001X` — Chiropractor, Nutrition Plain English: Licensed & Credentialed Chiropractic Providers — Chiropractor, Nutrition	State: MS \| License: `1209` \| Primary: Secondary
`111NP0017X` — Chiropractor, Pediatric Chiropractor Plain English: Licensed & Credentialed Chiropractic Providers — Chiropractor, Pediatric Chiropractor	State: MS \| License: `1209` \| Primary: Secondary
`111NR0200X` — Chiropractor, Radiology Plain English: Licensed & Credentialed Chiropractic Providers — Chiropractor, Radiology	State: MS \| License: `1209` \| Primary: Secondary
`111NR0400X` — Chiropractor, Rehabilitation Plain English: Licensed & Credentialed Chiropractic Providers — Chiropractor, Rehabilitation	State: MS \| License: `1209` \| Primary: Secondary
`111NS0005X` — Chiropractor, Sports Physician Plain English: Licensed & Credentialed Chiropractic Providers — Chiropractor, Sports Physician	State: MS \| License: `1209` \| Primary: Secondary
`111NT0100X` — Chiropractor, Thermography Plain English: Licensed & Credentialed Chiropractic Providers — Chiropractor, Thermography	State: MS \| License: `1209` \| Primary: Secondary
`111NX0100X` — Chiropractor, Occupational Health Plain English: Licensed & Credentialed Chiropractic Providers — Chiropractor, Occupational Medicine	State: MS \| License: `1209` \| Primary: Secondary
`111NX0800X` — Chiropractor, Orthopedic Plain English: Licensed & Credentialed Chiropractic Providers — Chiropractor, Orthopedic	State: MS \| License: `1209` \| Primary: Secondary

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LESLIE KEVIN ETHRIDGE, D.C. (NPI #1598197584)