Individual provider Active NPI

Leisa Tapia, PA-C

  • Physician Assistant
  • Greensboro, NC
National Provider Identifier
1164876579
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-06387 Issued in NC
Practice address
1200 N Elm St
Greensboro, NC 27401-1004
Phone
(336) 207-7005
NPI assigned
Apr 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-06387 NC Primary

Addresses

Primary practice location

1200 N Elm St
Greensboro, NC 27401-1004

Mailing address

PO Box 10467
Greensboro, NC 27404-0467
Phone (336) 207-7005

Other practice location 1

1041 Kirkpatrick Rd Ste 100
Burlington, NC 27215-8066
Phone (336) 538-0564

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ltapia476249@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160720000718 NC Practitioner - Physician Assistant 6800189432 Reassigns benefits to 2 organizations
I20260113001061 HI Practitioner - Physician Assistant 6800189432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moses Cone Physician Services, IncGroup PAC ID 4284782210, 397 clinicians

Practice addresses (Care Compare)

1041 Kirkpatrick Rd
Burlington, NC 27215-8066

301 E Wendover Ave
Suite 411
Greensboro, NC 27401-1211
Phone (336) 832-3210

Hospital & facility affiliations

  • Kahuku Medical Center Hospital, Kahuku, HI, CCN 121304
  • Alamance Regional Medical Center Hospital, Burlington, NC, CCN 340070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-06387NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services, Inc. Physician Assistant CurrentSince Feb 3, 2025 Accepting new patients
Moses Cone Physician Services Inc CurrentSince May 30, 2020 Accepting new patients
Kahuku Medical Center CurrentSince Nov 17, 2025 Accepting new patients
Moses Cone Physician Services, Inc. Physician Assistant CurrentSince May 30, 2020 Accepting new patients
Kahuku Medical Center CurrentSince Nov 17, 2025 Accepting new patients
Kahuku Medical Center Past Accepting new patients
Wake Forest Baptist Health Past Accepting new patients

Locations

66-632 Kamehameha Hwy
Ste 101
Haleiwa, HI 96712

56-117 Pualalea St
Kahuku, HI 96731
Phone (808) 293-9221

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

1041 Kirkpatrick Rd
Ste 100
Burlington, NC 27215
Phone (336) 538-0089

1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

1107 S Main St
Reidsville, NC 27320
Phone (336) 348-6664

Interoperability endpoints

  • Direct secure messaging: ltapia476249@direct.conehealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1164876579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10467",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274040467",
            "telephone_number": "336-207-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011004",
            "telephone_number": "336-207-7005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1041 Kirkpatrick Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NC",
            "postal_code": "272158066",
            "country_code": "US",
            "telephone_number": "336-538-0564",
            "fax_number": "336-538-0564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAPIA",
        "first_name": "LEISA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-21",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-06387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ltapia476249@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Direct Message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1041 Kirkpatrick Rd Ste 100",
            "city": "Burlington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272158066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.