Individual provider Active NPI

Leslie Ann Ware, PA-C

  • Physician Assistant
  • Mt Holly, NC
National Provider Identifier
1245236249
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
103472 Issued in NC
Practice address
305 W Catawba Ave
Mt Holly, NC 28120-1613
Phone
(704) 822-6200
Fax
(704) 822-3598
NPI assigned
Jun 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2020

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 103472 NC Primary

Addresses

Primary practice location

305 W Catawba Ave
Mt Holly, NC 28120-1613

Mailing address

PO Box 786
Mt Holly, NC 28120-0786
Phone (704) 822-6200

Other names 1

  • Ms. Leslie Ann Ware Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lware698149@direct.novanthealth.org

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
I20050303000296 NC Practitioner - Physician Assistant 8820042716 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
103472NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Health & Wellness DPC PLLC Physician Assistant Current Accepting new patients
Mt Holly Family Practice Inc PastSince Sep 1, 1999 Accepting new patients
Anson Regional Medical Services, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lware698149@direct.novanthealth.org
  • Direct secure messaging: leslie.ware.1@30192.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1245236249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 786",
            "city": "MT HOLLY",
            "state": "NC",
            "postal_code": "281200786",
            "telephone_number": "704-822-6200",
            "fax_number": "704-822-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W CATAWBA AVE",
            "city": "MT HOLLY",
            "state": "NC",
            "postal_code": "281201613",
            "telephone_number": "704-822-6200",
            "fax_number": "704-822-3598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARE",
        "first_name": "LESLIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2020-10-25",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lware698149@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "305 W Catawba Ave",
            "city": "MT Holly",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281201613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "WARE",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mt Holly, NC

Sources for this page

Verify at the official NPI Registry.