Individual provider Active NPI

Ila Leigh McKenzie, N.P.

  • Nurse Practitioner
  • Wilson, NC
National Provider Identifier
1295925089
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5003231 Issued in NC
Practice address
4700 Sandoz Dr
Wilson, NC 27893-8143
Phone
(252) 234-2436
NPI assigned
Jul 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0050-03231 NC
Nurse Practitioner 363L00000X 5003231 NC Primary

Addresses

Primary practice location

4700 Sandoz Dr
Wilson, NC 27893-8143

Mailing address

50 S B B King Blvd # 100
Memphis, TN 38103-2626
Phone (901) 436-1381

Other names 1

  • Leigh Collins McKenzie Former name

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
I20071024000044 NC Practitioner - Nurse Practitioner 4688767254 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0050-03231NCMDNurse Practitioner
5003231NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pai Participant 29, P.C. CurrentSince Jan 6, 2025 Accepting new patients
Landmark Medical of North Carolina PC CurrentSince Feb 7, 2023 Accepting new patients
Universal Health Corporation CurrentSince Dec 20, 2024 Accepting new patients

Locations

7755 Center Ave
Ste 630
Huntington Beach, CA 92647
Phone (877) 240-3112

1987 Hilton Rd
Burlington, NC 27217
Phone (336) 226-0848

2645 Meridian Pkwy
Ste 323
Durham, NC 27713
Phone (984) 227-8902

1287 Newsome St
Mount Airy, NC 27030
Phone (336) 786-2133

214 Lanefield Rd
Warsaw, NC 28398
Phone (910) 293-3144

Interoperability endpoints

  • Direct secure messaging: ms_imckenzi@landmarkhealth-direct.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1295925089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S B B KING BLVD # 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381032626",
            "telephone_number": "901-436-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 SANDOZ DR",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278938143",
            "telephone_number": "252-234-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "ILA",
        "middle_name": "LEIGH",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-27",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "0050-03231",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5003231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEIGH",
            "last_name": "COLLINS MCKENZIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilson, NC

Sources for this page

Verify at the official NPI Registry.