Active NPI
Kathleen C Leoffler, NURSE PRACTITIONER
- Family Nurse Practitioner
- Newnan, GA
National Provider Identifier
1306063565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN143499
- Practice address
- 1615 Highway 34 E
Newnan, GA 30265-1325 - Phone
- (770) 252-6767
- Fax
- (770) 252-0021
- NPI assigned
- Apr 19, 2007
- Sex
- Female
- 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 | RN143499 | GA | Primary |
Addresses
Primary practice location
1615 Highway 34 E
Newnan, GA 30265-1325
Mailing address
PO Box 102321
Atlanta, GA 30368-2321
Phone (770) 801-2500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-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
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Medical Care Corporation | Current | Accepting new patients | |
| Piedmont Providers LLC | Past | Accepting new patients |
Locations
105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860
105 Collier Rd NW
Ste 2070
Atlanta, GA 30309
Phone (404) 350-3860
1615 Highway 34 E
Newnan, GA 30265
Phone (770) 252-6767
Organizations & group practices 2
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.
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- Atlanta, GA
- NPI 1912956046
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192665600000",
"number": "1306063565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 102321",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303682321",
"telephone_number": "770-801-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 HIGHWAY 34 E",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302651325",
"telephone_number": "770-252-6767",
"fax_number": "770-252-0021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEOFFLER",
"first_name": "KATHLEEN",
"middle_name": "C",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2007-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN143499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.