Individual provider Active NPI

Nickolas James Leaf, DNP-FNP-BC

  • Family Nurse Practitioner
  • North Augusta, SC
National Provider Identifier
1245904200
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN253568 Issued in GA
Practice address
325 Georgia Ave Ste 100
North Augusta, SC 29841-3848
Phone
(803) 202-3351
Fax
(803) 819-8532
NPI assigned
Aug 3, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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 RN253568 GA Primary

Addresses

Primary practice location

325 Georgia Ave Ste 100
North Augusta, SC 29841-3848

Mailing address

PO Box 1705
Augusta, GA 30903-1705
Phone (706) 854-6008

Other practice location 1

1411 Laney Walker Blvd
Augusta, GA 30912-0002
Phone (706) 721-6744

Other practice location 2

325 Georgia Ave Ste 200
North Augusta, SC 29841-3848
Phone (803) 442-5750

Other practice location 3

1100 W Lake Commons Dr
Martinez, GA 30907-7932
Phone (706) 250-6919

Other practice location 4

447 N Belair Rd Ste 101
Evans, GA 30809-3091
Phone (706) 854-2222

Other practice location 5

3486 Peach Orchard Rd Ste 200
Augusta, GA 30906-5215
Phone (706) 828-8049

Other practice location 6

925 Branch Ct Ste 101
Grovetown, GA 30813-3325
Phone (706) 396-1199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 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
I20211103002344 SC Practitioner - Nurse Practitioner 1254729676 Reassigns benefits to 1 organization
I20211130001665 GA Practitioner - Nurse Practitioner 1254729676 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Providers LLCGroup PAC ID 9830082825, 526 clinicians

Practice addresses (Care Compare)

840 Stevens Creek Rd
Augusta, GA 30907-9251
Phone (706) 722-6957

Hospital & facility affiliations

  • Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Professional Services, LLC CurrentSince Sep 1, 2023 Accepting new patients
Piedmont Providers LLC CurrentSince Oct 1, 2024 Accepting new patients
Piedmont Medical Care Corporation Past Accepting new patients

Locations

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

95 Collier Rd NW
Ste 4045
Atlanta, GA 30309
Phone (404) 351-2270

840 Stevens Creek Rd
Augusta, GA 30907
Phone (706) 722-6957

447 N Belair Rd
Ste 101
Evans, GA 30809
Phone (706) 854-2222

1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415

925 Branch Ct
Ste 101
Grovetown, GA 30813
Phone (706) 396-1199

1100 West Lake Commons Dr
Martinez, GA 30907
Phone (706) 228-2565

1021 Silver Bluff Rd
Aiken, SC 29803
Phone (803) 648-0587

325 Georgia Ave
Ste 100
North Augusta, SC 29841
Phone (803) 202-3351

325 Georgia Ave
Ste 200
North Augusta, SC 29841
Phone (803) 202-3351

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1245904200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1705",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309031705",
            "telephone_number": "706-854-6008",
            "fax_number": "706-774-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 GEORGIA AVE STE 100",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298413848",
            "telephone_number": "803-202-3351",
            "fax_number": "803-819-8532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1411 Laney Walker Blvd",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309120002",
            "country_code": "US",
            "telephone_number": "706-721-6744",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 Georgia Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "North Augusta",
            "state": "SC",
            "postal_code": "298413848",
            "country_code": "US",
            "telephone_number": "803-442-5750",
            "fax_number": "803-442-5751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 W Lake Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Martinez",
            "state": "GA",
            "postal_code": "309077932",
            "country_code": "US",
            "telephone_number": "706-250-6919",
            "fax_number": "706-250-7232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "447 N Belair Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308093091",
            "country_code": "US",
            "telephone_number": "706-854-2222",
            "fax_number": "706-854-2226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3486 Peach Orchard Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309065215",
            "country_code": "US",
            "telephone_number": "706-828-8049",
            "fax_number": "706-828-8048",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "925 Branch Ct Ste 101",
            "address_purpose": "LOCATION",
            "city": "Grovetown",
            "state": "GA",
            "postal_code": "308133325",
            "country_code": "US",
            "telephone_number": "706-396-1199",
            "fax_number": "706-396-1452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEAF",
        "first_name": "NICKOLAS",
        "middle_name": "JAMES",
        "credential": "DNP-FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN253568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Augusta, SC

Sources for this page

Verify at the official NPI Registry.