Daphnie Foster McLeod, RN
Individual provider Active NPI Registered Nurse · Marietta, GA
NPI 1134844236 · NPPES record last updated Oct 11, 2022
Key facts
- NPI
- 1134844236
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN245572 (GA)
- Practice address
- 63 Old Farm Rd
Marietta, GA 30068-3432 - Phone
- (229) 539-8697
- NPI assigned
- Oct 11, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Alabama School of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Piedmont Colorectal Associates, PC
Practice addresses (Care Compare)
35 Collier Rd NW
Suite 475
Atlanta, GA 30309-1605
Phone (404) 351-7900
Hospital & facility affiliations
- Piedmont Hospital, Inc
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 |
|---|---|---|---|---|
| I20250723004446 | GA | Practitioner - Nurse Practitioner | 6608382726 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN245572 | GA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Colorectal Associates, PC | Current |
Accepting new patients |
Locations
35 Collier Rd NW
Ste 475
Atlanta, GA 30309
Phone (404) 351-7900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN245572 | GA | Yes |
Addresses
Primary practice location
63 Old Farm Rd
Marietta, GA 30068-3432
Mailing address
63 Old Farm Rd
Marietta, GA 30068-3432
Phone (229) 539-8697
NPI Registry JSON
{
"created_epoch": "1665446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665446400000",
"number": "1134844236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 OLD FARM RD",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300683432",
"telephone_number": "229-539-8697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 OLD FARM RD",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300683432",
"telephone_number": "229-539-8697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEOD",
"first_name": "DAPHNIE",
"middle_name": "FOSTER",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-11",
"last_updated": "2022-10-11",
"certification_date": "2022-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN245572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2022. 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.