NPIMap

Individual provider Active NPI

Leanne M Hedges, P.A.

  • Physician Assistant
  • Eldersburg, MD
National Provider Identifier
1346470036
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C04009 Issued in MD
Practice address
6190 Georgetown Blvd Ste 104
Eldersburg, MD 21784-6460
Phone
(410) 552-5050
Fax
(410) 552-0200
NPI assigned
Jul 16, 2009
Last updated
Apr 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C04009 MD Primary

Addresses

Primary practice location

6190 Georgetown Blvd Ste 104
Eldersburg, MD 21784-6460

Mailing address

6190 Georgetown Blvd Ste 104
Eldersburg, MD 21784-6460
Phone (410) 552-5050

Other practice location 1

7600 Carroll Ave
Takoma Park, MD 20912-6367
Phone (301) 891-5070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090826000065 MD Practitioner - Physician Assistant 5991850026 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Forest Hill, MD 21050-1758

410 Malcolm Dr
Suite a
Westminster, MD 21157-6160
Phone (410) 876-7772

6190 Georgetown Blvd
Suite 104
Eldersburg, MD 21784-6460
Phone (410) 552-5050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C04009MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates, PA CurrentSince Jan 1, 2022 Accepting new patients
Lifebridge Community Physicians, Inc CurrentSince May 1, 2017 Accepting new patients
Lifebridge Community Physicians Inc CurrentSince May 1, 2017 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jan 1, 2022 Accepting new patients
Lifebridge Community Physicians, Inc Past Accepting new patients
Arnot Medical Services PLLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

6190 Georgetown Blvd
Ste 104
Sykesville, MD 21784
Phone (410) 552-5050

7600 Carroll Ave
Takoma Park, MD 20912
Phone (301) 791-7600

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1346470036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6190 GEORGETOWN BLVD STE 104",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846460",
            "telephone_number": "410-552-5050",
            "fax_number": "410-552-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6190 GEORGETOWN BLVD STE 104",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846460",
            "telephone_number": "410-552-5050",
            "fax_number": "410-552-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7600 Carroll Ave",
            "address_purpose": "LOCATION",
            "city": "Takoma Park",
            "state": "MD",
            "postal_code": "209126367",
            "country_code": "US",
            "telephone_number": "301-891-5070",
            "fax_number": "301-891-6346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEDGES",
        "first_name": "LEANNE",
        "middle_name": "M",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C04009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eldersburg, MD

Sources for this page

Verify at the official NPI Registry.