Beverly L Leavy, CNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

CN0014251381 Issued in GA

Practice address

3851 Lincoln Jones Rd
Ellenwood, GA 30294-1828

Phone

(219) 318-9169

NPI assigned

Mar 18, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1773792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1285582973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2172 GEORGIA ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464073212",
            "telephone_number": "219-318-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 LINCOLN JONES RD",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302941828",
            "telephone_number": "219-318-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAVY",
        "first_name": "BEVERLY",
        "middle_name": "L",
        "credential": "CNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-18",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "GA",
            "license": "CN0014251381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latonya M Andrews
• Marc Lawson
• Chezann Lawton, APRN
• Le'Glen Personal Care Home
• Derrick Andre Leach
• Shelia Leek, PHLEBOTOMIST
• Terrilyn D Lemons, APRNP
• Claudea Antonette Lewis-Comrie
• Dornel J Lewis, NURSE PRACTITIONER
• Jacqueline Lewis, NP

• Nurse's Aide in Ellenwood, GA
• Providers in Ellenwood, GA by specialty
• Nurse's Aide in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.