Mesheal L Leverett, NP-C
Individual provider Active NPI Family Nurse Practitioner · Quitman, GA
NPI 1124420856 · NPPES record last updated Aug 10, 2016
Key facts
- NPI
- 1124420856
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN210815 (GA)
- Practice address
- 315 E Screven St
Quitman, GA 31643-2131 - Phone
- (229) 305-1000
- NPI assigned
- Sep 25, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southland - Lakeland Medical Services, LLC
SGMC Affiliated Services LLC
Southland Emergency Medical Services LLC
Practice addresses (Care Compare)
116 W Thigpen Ave
Lakeland, GA 31635-1011
Phone (229) 977-6692
4256 N Valdosta Rd
Valdosta, GA 31602-6814
Phone (229) 433-8200
903 N Court St
Quitman, GA 31643-1315
Phone (229) 200-4950
Hospital & facility affiliations
- Archbold Brooks
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141218000820 | GA | Practitioner - Nurse Practitioner | 6103149463 | Reassigns benefits to 8 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN210815 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southland Emergency Medical Services, L.L.C | Current |
Accepting new patients | |
| Southland Bainbridge Hospitalist Group, LLC | Current |
Accepting new patients | |
| Southland-Nashville Emergency Services, LLC. | Current |
Accepting new patients | |
| Southland Consolidated Emergency Services, LLC | Current |
Accepting new patients | |
| SGMC Affiliated Services LLC | Current |
Accepting new patients | |
| Southland-Nashville Emergency Services, LLC | Current |
Accepting new patients | |
| Southland Behavioral Health Services LLC | Current |
Accepting new patients | |
| Southland Clinch Emergency Medical Services, LLC | Current |
Accepting new patients | |
| Southland - Lakeland Medical Services, LLC | Current |
Accepting new patients | |
| South Georgia Emergency Medicine Associates PC | Current |
Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100
90 E Stephens St
Camilla, GA 31730
Phone (229) 200-4950
4 Medical Dr
Elberton, GA 30635
Phone (706) 213-2527
1050 Valdosta Hwy
Homerville, GA 31634
Phone (912) 383-6575
116 W Thigpen Ave
Lakeland, GA 31635
Phone (229) 482-8440
1221 E McPherson Ave
Nashville, GA 31639
Phone (229) 543-7100
903 N Court St
Quitman, GA 31643
Phone (229) 263-4531
100 S Madison St
Thomasville, GA 31792
Phone (229) 221-9552
915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575
4256 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 242-1234
520 Griffin Ave
Ste A
Valdosta, GA 31601
Phone (229) 433-7340
2209 Pineview Dr
Valdosta, GA 31602
Phone (229) 247-4357
2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139
4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN210815 | GA | Yes |
Addresses
Primary practice location
315 E Screven St
Quitman, GA 31643-2131
Mailing address
2484 Duncan Road
Quitman, GA 31643
Phone (229) 305-1000
Other providers in Quitman, GA
- K & D Pharmacy Inc
- Kerri Dawn Kelley
- Kasey William Knight
- Lee & Pickels Consulting, LLC
- Lee & Pickels Drugs Store, Inc.
- Marable'S Heart-to-Heart PCH Inc
- Debra McCauley
- Payten McCloud
- Whitney Elise McCloud
- Walter Lee McGary Jr.
All providers in Quitman, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.