Active NPI
Nickolas James Leaf, DNP-FNP-BC
- Family Nurse Practitioner
- North Augusta, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN253568
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
Practice addresses (Care Compare)
840 Stevens Creek Rd
Augusta, GA 30907-9251
Phone (706) 722-6957
Hospital & facility affiliations
- Piedmont Augusta Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Professional Services, LLC | Current | Accepting new patients | |
| Piedmont Providers LLC | Current | 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.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1912956046
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.