Active NPI
Leslie Carol Mills, RN, CPNP
- Pediatric Nurse Practitioner
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- GAA-NP004358
- Practice address
- 1303 Dantignac St Ste 2600
Augusta, GA 30901-2796 - Phone
- (706) 854-2500
- Fax
- (706) 854-2559
- NPI assigned
- Nov 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | RN077228 | GA | |
| Pediatric Nurse Practitioner | 363LP0200X | RN077228 | GA | |
| Pediatric Nurse Practitioner | 363LP0200X | GAA-NP004358 | GA | Primary |
Addresses
Primary practice location
1303 Dantignac St Ste 2600
Augusta, GA 30901-2796
Mailing address
411 Town Park Blvd
Evans, GA 30809-3487
Phone (706) 854-2500
Other practice location 1
5135 Wrightsboro Rd Ste B
Grovetown, GA 30813-2803
Phone (706) 854-2500
Other practice location 2
411 Town Park Blvd
Evans, GA 30809-3487
Phone (706) 854-2500 ext. 232
Other practice location 3
241 Meridian Dr
Grovetown, GA 30813
Phone (706) 854-2500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000823611E | Other | GA | MEDICAID EVANS |
| 000823611D | Other | GA | MEDICAID POB4 |
Other names 1
- Leslie Carol Medford
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN077228 | GA | MD | Pediatrics Physician |
| GAA-NP004358 | GA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Partners of Augusta, LLC | Pediatrics | Current | Accepting new patients |
| Au Medical Associates Inc | Past | Accepting new patients | |
| Melissa Jadick | Pediatrics | Past | Accepting new patients |
Locations
1303 Dantignac St
Ste 2600
Augusta, GA 30901
Phone (706) 854-2500
411 Town Park Blvd
Evans, GA 30809
Phone (706) 854-2500
5135 Wrightsboro Rd
Ste B
Grovetown, GA 30813
Phone (706) 854-2500
Interoperability endpoints
- leslie.mills.1@14928.direct.athenahealth.com
- https://api.platform.athenahealth.com/14928/brand/1/csg/1/fhir/r4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Evans, GA
- NPI 1417064924
-
- Multi-Specialty Clinic/Center
- Augusta, GA
- NPI 1841230620
-
- Pediatrics Physician
- Augusta, GA
- NPI 1013927946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767657600000",
"number": "1043380777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 TOWN PARK BLVD",
"city": "EVANS",
"state": "GA",
"postal_code": "308093487",
"telephone_number": "706-854-2500",
"fax_number": "706-854-2559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 DANTIGNAC ST STE 2600",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309012796",
"telephone_number": "706-854-2500",
"fax_number": "706-854-2559"
}
],
"practiceLocations": [
{
"address_1": "5135 Wrightsboro Rd Ste B",
"address_purpose": "LOCATION",
"city": "Grovetown",
"state": "GA",
"postal_code": "308132803",
"country_code": "US",
"telephone_number": "706-854-2500",
"fax_number": "706-854-2559",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "411 Town Park Blvd",
"address_purpose": "LOCATION",
"city": "Evans",
"state": "GA",
"postal_code": "308093487",
"country_code": "US",
"telephone_number": "706-854-2500 x232",
"fax_number": "706-854-2559",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "241 MERIDIAN DR",
"address_purpose": "LOCATION",
"city": "Grovetown",
"state": "GA",
"postal_code": "30813",
"country_code": "US",
"telephone_number": "706-854-2500",
"fax_number": "706-854-2559",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLS",
"first_name": "LESLIE",
"middle_name": "CAROL",
"credential": "RN, CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-09",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "RN077228",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "GA",
"license": "RN077228",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "GA",
"license": "GAA-NP004358",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID EVANS",
"identifier": "000823611E",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID POB4",
"identifier": "000823611D",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LESLIE",
"last_name": "MEDFORD",
"middle_name": "CAROL",
"credential": "RN, CPNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.