Individual provider Active NPI

Leslie Carol Mills, RN, CPNP

  • Pediatric Nurse Practitioner
  • Augusta, GA
National Provider Identifier
1043380777
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
GAA-NP004358 Issued in GA
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

Updated by the provider on Jan 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000823611EOtherGAMEDICAID EVANS
000823611DOtherGAMEDICAID POB4

Other names 1

  • Leslie Carol Medford Former name

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

LicenseStateTypeSpecialty
RN077228GAMDPediatrics Physician
GAA-NP004358GAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Partners of Augusta, LLC Pediatrics CurrentSince Jan 28, 2024 Accepting new patients
Au Medical Associates Inc PastSince Jan 28, 2024 Accepting new patients
Melissa Jadick Pediatrics PastSince Jan 28, 2024 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

  • Direct secure messaging: leslie.mills.1@14928.direct.athenahealth.com
  • FHIR API: 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.

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.

Verify at the official NPI Registry.