Leila Keel Nichols, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

14288 Issued in TN

Practice address

2863 Highway 45 Byp
Jackson, TN 38305-3618

Phone

(731) 660-8300

Fax

(731) 660-8301

NPI assigned

Sep 10, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN, WV2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jackson Clinic PAGroup PAC ID 2668376872, 171 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

80.15 of 100Reported as group

Quality

74.15

Promoting interoperability

77

Improvement activities

40

Cost

78.84

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7363/brand/1/csg/1/fhir/r4
• Direct secure messaging: leilanichols@jcpa.allscriptsdirect.net

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.

• Jackson Clinic PA

  • Internal Medicine Physician
  • Jackson, TN
  • NPI 1285629386

  Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD
• Obhg Tennessee, P.C.

  • Obstetrics & Gynecology Physician
  • Jackson, TN
  • NPI 1285924977
  Medicare reassignment NPD
• WT University Medical Associates Inc

  • Family Medicine Physician
  • Jackson, TN
  • NPI 1023572344

  Obstetrics & Gynecology

  Medicare reassignment NPD
• Womencare Inc

  • Federally Qualified Health Center (FQHC)
  • Charleston, WV
  • NPI 1770745036
  Medicare reassignment NPD
• Womencare, Inc

  • Federally Qualified Health Center (FQHC)
  • Madison, WV
  • NPI 1740450089
  Medicare reassignment
• Jackson Clinic PA

  • Durable Medical Equipment & Medical Supplies
  • Jackson, TN
  • NPI 1689443038
  NPD
• University of Tennessee

  • Family Medicine Physician
  • Jackson, TN
  • NPI 1780686436
  NPD
• Womencare Inc

  • Federally Qualified Health Center (FQHC)
  • Cross Lanes, WV
  • NPI 1396237434
  NPD
• Womencare Inc

  • Federally Qualified Health Center (FQHC)
  • Barboursville, WV
  • NPI 1447618327
  NPD
• Womencare Inc

  • Federally Qualified Health Center (FQHC)
  • Winfield, WV
  • NPI 1477834216
  NPD
• Womencare Inc

  • Federally Qualified Health Center (FQHC)
  • Marmet, WV
  • NPI 1730671751
  NPD
• Womencare Inc

  • Federally Qualified Health Center (FQHC)
  • Charleston, WV
  • NPI 1790276525
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1104159904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383020400",
            "telephone_number": "731-422-0213",
            "fax_number": "731-425-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2863 HIGHWAY 45 BYP",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053618",
            "telephone_number": "731-660-8300",
            "fax_number": "731-660-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "LEILA",
        "middle_name": "KEEL",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "13090",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TN",
            "license": "APN14288",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WV",
            "license": "APRN90339MIDWIFE",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TN",
            "license": "14288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "3380640",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "3380640",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1525515",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chuong Thien Nguyen, PHARM D
• Michael Nguyen
• Mary Nicholas, MD
• Philip Ray Nicholas, LPC-MHSP
• April Nichols, FNP-BC
• Valinda Carol Nobles, RN
• Tameka Lachelle Noel, M.D.
• Amanda Lynn Nold, PA-C
• Gabriel C Nold, DO
• Noma, PC

• Advanced Practice Midwife in Jackson, TN
• Providers in Jackson, TN by specialty
• Advanced Practice Midwife in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.