Individual provider Active NPI

Ashley Willis Lezotte, NP

  • Family Nurse Practitioner
  • Brunswick, GA
National Provider Identifier
1114247921
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN145239NP Issued in GA
Practice address
1131 Chapel Crossing Rd TRLR 759
Brunswick, GA 31524-2002
Phone
(912) 280-5305
NPI assigned
Jun 3, 2010
Last updated
Nov 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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 RN145239NP GA Primary

Addresses

Primary practice location

1131 Chapel Crossing Rd TRLR 759
Brunswick, GA 31524-2002

Mailing address

2500 Starling St
Ste 401
Brunswick, GA 31520-4293
Phone (912) 466-5443

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
I20050104000235 GA Practitioner - Nurse Practitioner 5890743108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooperative Healthcare Services IncGroup PAC ID 9830093640, 235 clinicians

Practice addresses (Care Compare)

2500 Starling St
Suite 401
Brunswick, GA 31520-4293
Phone (912) 554-0544

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.36 of 100Reported as group
Quality
46.72
Promoting interoperability
99
Improvement activities
40
Cost
75.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN145239NPGAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cooperative Healthcare Services Inc CurrentSince Oct 17, 2020 Accepting new patients
Strickland, Certain & Jones Past Accepting new patients
Southeastern Surgical Associates Past Accepting new patients

Locations

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

2500 Starling St
Ste 401
Brunswick, GA 31520
Phone (912) 554-0544

2500 Starling St
Ste 404
Brunswick, GA 31520
Phone (912) 264-1520

3025 Shrine Rd
Ste 290
Brunswick, GA 31520
Phone (912) 267-1026

Interoperability endpoints

  • Direct secure messaging: alezott@secure.sghsmessaging.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1114247921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 STARLING ST",
            "address_2": "STE 401",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204293",
            "telephone_number": "912-466-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 CHAPEL CROSSING RD TRLR 759",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315242002",
            "telephone_number": "912-280-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEZOTTE",
        "first_name": "ASHLEY",
        "middle_name": "WILLIS",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-03",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN145239NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.