Individual provider Active NPI

Leah G Cantrelle

  • Family Medicine Physician
  • Madison, AL
National Provider Identifier
1336970722
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
PA.2698 Issued in AL
Practice address
400 Sun Temple Dr
Madison, AL 35758-5924
Phone
(256) 774-5524
Fax
(256) 774-5523
NPI assigned
Aug 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X PA.2698 AL Primary

Addresses

Primary practice location

400 Sun Temple Dr
Madison, AL 35758-5924

Mailing address

17657 W Jordan Rd
Biloxi, MS 39532-7743
Phone (228) 297-2901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of South Alabama College of Medicine, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

400 Sun Temple Dr
Madison, AL 35758-5924

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA.2698ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Primary Care LLC Single Specialty CurrentSince Feb 25, 2026 Accepting new patients

Locations

400 Sun Temple Dr
Madison, AL 35758
Phone (256) 774-5524

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12216/brand/1/csg/1/fhir/r4
  • Direct secure messaging: leah.cantrelle.1@12216.direct.athenahealth.com

Organizations & group practices 1

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": "1723075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1336970722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17657 W JORDAN RD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395327743",
            "telephone_number": "228-297-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SUN TEMPLE DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357585924",
            "telephone_number": "256-774-5524",
            "fax_number": "256-774-5523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTRELLE",
        "first_name": "LEAH",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-08",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "PA.2698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.