Individual provider Active NPI

Alicia Skye Ledford, NP-C

  • Family Nurse Practitioner
  • Griffin, GA
National Provider Identifier
1073009122
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN227283 Issued in GA
Practice address
619 S 8TH St.
Suite 200
Griffin, GA 30224
Phone
(770) 227-1587
NPI assigned
Jul 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN227283 GA Primary

Addresses

Primary practice location

619 S 8TH St.
Suite 200
Griffin, GA 30224

Mailing address

619 S 8TH St Ste 200
Griffin, GA 30224-4260
Phone (770) 227-1587

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180817001159 GA Practitioner - Nurse Practitioner 1557610938 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Qcpi-Villagemd PCGroup PAC ID 8123389277, 76 clinicians

Practice addresses (Care Compare)

1104 W Taylor St
Griffin, GA 30223-2610
Phone (770) 227-1587

1805 Parke Plaza Cir
Suite 101
Stone Mountain, GA 30087-3646
Phone (770) 879-0436

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medical Associates, LLC Current Accepting new patients
Internal Medicine of Griffin CurrentSince Jul 8, 2018 Accepting new patients
Family Medical and Urgent Care Clinic of McDonough, LLC CurrentSince Apr 24, 2021 Accepting new patients
Donna M. Haney M.D., P.C. PastSince Apr 24, 2021 Accepting new patients

Locations

619 S 8th St
Ste 200
Griffin, GA 30224
Phone (770) 227-1587

1104 W Taylor St
Griffin, GA 30223
Phone (770) 227-1587

1631 Highway 20 W
McDonough, GA 30253
Phone 7702882822 ext. 135

230 Plaza Dr
Zebulon, GA 30295
Phone (404) 569-1310

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CAJFBD
  • Direct secure messaging: alicia.ledford.1@21533.direct.athenahealth.com

Organizations & group practices 5

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": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1073009122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 S 8TH ST STE 200",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244260",
            "telephone_number": "770-227-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 S 8TH ST.",
            "address_2": "SUITE 200",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "30224",
            "telephone_number": "770-227-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDFORD",
        "first_name": "ALICIA",
        "middle_name": "SKYE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN227283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffin, GA

Sources for this page

Verify at the official NPI Registry.