Individual provider Active NPI

Leighanna Grace Martin, FNP-C

  • Family Nurse Practitioner
  • Wilson, NC
National Provider Identifier
1235598434
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5008448 Issued in NC
Practice address
2624 Ortho Dr W
Wilson, NC 27893-3484
Phone
(252) 991-5261
Fax
(252) 991-5262
NPI assigned
Feb 16, 2016
Last updated
Mar 17, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5008448 NC Primary

Addresses

Primary practice location

2624 Ortho Dr W
Wilson, NC 27893-3484

Mailing address

4604B Rochester CT NW
Wilson, NC 27896-7997
Phone (423) 716-1734

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160406000906 NC Practitioner - Nurse Practitioner 8224336367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.16 of 100Reported as group
Quality
79.2
Promoting interoperability
99
Improvement activities
40
Cost
77.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5008448NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Medical Oncology Center PA CurrentSince Mar 17, 2016 Accepting new patients

Locations

2624 Ortho Dr W
Wilson, NC 27893
Phone (252) 293-0777

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458172800000",
    "number": "1235598434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4604B ROCHESTER CT NW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278967997",
            "telephone_number": "423-716-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 ORTHO DR W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933484",
            "telephone_number": "252-991-5261",
            "fax_number": "252-991-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LEIGHANNA",
        "middle_name": "GRACE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5008448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

Verify at the official NPI Registry.