Active NPI
Lesia Herron
- Primary Care Nurse Practitioner
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- RN115103
- Practice address
- 3408 Noble Creek NWDR
Atlanta, GA 30327-5121 - Phone
- (804) 651-0000
- Fax
- (410) 569-7137
- NPI assigned
- Nov 14, 2013
- Last updated
- Dec 30, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | RN115103 | GA | Primary |
| Registered Nurse | 163W00000X | RN1020457 | DC |
Addresses
Primary practice location
3408 Noble Creek NWDR
Atlanta, GA 30327-5121
Mailing address
2020 Howell Mill Rd NW, D-421
Atlanta, GA 30318-1732
Phone (804) 651-0000
Other names 1
- Lesia Herron
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1020457 | DC | MD | Registered Nurse |
| RN115103 | GA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Small Hospital Innovations LLC | Current | Accepting new patients | |
| Gwinnett Emergency Specialists, LLC | Current | Accepting new patients | |
| The Family Health Centers of Georgia, Inc | Current | Accepting new patients | |
| Gwinnett Emergency Specialists Observation Services, LLC | Current | Accepting new patients | |
| The Family Health Centers of Georgia, Inc | Current | Accepting new patients | |
| Georgia Emergency Group, LLC | Current | Accepting new patients | |
| The Family Health Centers of Georgia, Inc | Current | Accepting new patients |
Locations
868 York Ave SW
Atlanta, GA 30310
601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721
1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356
11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Griffin, GA
- NPI 1952746638
-
- Emergency Medicine Physician
- Lawrenceville, GA
- NPI 1720373129
-
- Emergency Medicine Physician
- Lawrenceville, GA
- NPI 1437346467
-
dba The Family Health Center at West End
- Federally Qualified Health Center (FQHC)
- Atlanta, GA
- NPI 1720080989
-
- Adult Mental Health Clinic/Center
- Atlanta, GA
- NPI 1992191217
-
dba The Family Health Center@ Bolton Village
- Federally Qualified Health Center (FQHC)
- Atlanta, GA
- NPI 1760612055
-
dba McDonough Children's Specialist
- Federally Qualified Health Center (FQHC)
- McDonough, GA
- NPI 1982489555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451433600000",
"number": "1184054900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 HOWELL MILL RD NW, D-421",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303181732",
"telephone_number": "804-651-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3408 NOBLE CREEK NWDR",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303275121",
"telephone_number": "804-651-0000",
"fax_number": "410-569-7137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRON",
"first_name": "LESIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-14",
"last_updated": "2015-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "GA",
"license": "RN115103",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DC",
"license": "RN1020457",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LESIA",
"last_name": "HERRON",
"credential": "RN",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.