Active NPI
Glynis Leflore, LPN
- Licensed Practical Nurse
- Mableton, GA
National Provider Identifier
1215637772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LPN094252
- Practice address
- 4745 Legacy Cove LN
Mableton, GA 30126-2580 - Phone
- (404) 769-2464
- NPI assigned
- Mar 3, 2023
- Last updated
- Mar 3, 2023
- 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 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | NU | ||
| Chore Provider | 372500000X | NU | ||
| Adult Companion | 372600000X | NU | ||
| Day Training/Habilitation Specialist | 373H00000X | NU | ||
| Attendant Care Provider | 3747A0650X | NU | ||
| Personal Care Attendant | 3747P1801X | NU | ||
| Religious Nonmedical Nursing Personnel | 374T00000X | NU | ||
| Nursing Home Administrator | 376G00000X | NU | ||
| Homemaker | 376J00000X | NU | ||
| Licensed Practical Nurse | 164W00000X | LPN094252 | GA | Primary |
| Case Manager/Care Coordinator | 171M00000X | NU | ||
| Religious Nonmedical Practitioner | 374K00000X | NU |
Addresses
Primary practice location
4745 Legacy Cove LN
Mableton, GA 30126-2580
Mailing address
4480 S Cobb Dr SE Unit H477
Smyrna, GA 30080-6990
Phone (404) 769-2464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPN094252 | GA | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capitol Home Care Services of Georgia LLC | Case Manager/Care Coordinator | Current | Accepting new patients |
| Phlebo on the Go LLC | Current | Accepting new patients | |
| 1 Capital Solutions PLLC | Current | Accepting new patients |
Locations
633 Chestnut St
Ste 600
Chattanooga, TN 37450
Phone (404) 769-2464
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.
-
- In Home Supportive Care Agency
- Mableton, GA
- NPI 1225890742
Case Manager/Care Coordinator
-
- Durable Medical Equipment & Medical Supplies
- Mableton, GA
- NPI 1346058948
-
- In Home Supportive Care Agency
- Chattanooga, TN
- NPI 1942019682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677801600000",
"number": "1215637772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4480 S COBB DR SE UNIT H477",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300806990",
"telephone_number": "404-769-2464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4745 LEGACY COVE LN",
"city": "MABLETON",
"state": "GA",
"postal_code": "301262580",
"telephone_number": "404-769-2464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEFLORE",
"first_name": "GLYNIS",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-03",
"last_updated": "2023-03-03",
"certification_date": "2023-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "374T00000X",
"taxonomy_group": "",
"desc": "Religious Nonmedical Nursing Personnel",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "376G00000X",
"taxonomy_group": "",
"desc": "Nursing Home Administrator",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "GA",
"license": "LPN094252",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "374K00000X",
"taxonomy_group": "",
"desc": "Religious Nonmedical Practitioner",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mableton, GA
- Shronna Latimore
- Lauretta Louis Healthcare (Lauretta Louis Homehealthcare)
- Akida Lavender, LPC
- Yohayra Lee
- Leeland Pharmacy (Mableton Pharmacy & Uniforms)
- Leland Pharmacy Inc (Mableton Pharmacy & Uniforms)
- Liberty Healthcare Services Inc
- Liberty Healthcare Servises Inc.
- Lifelinks Resources LLC
- Tenesha Littleton, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.