Active NPI
Leah Deanhardt Fogle, CRNA
- Certified Registered Nurse Anesthetist
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 26186
- Practice address
- 2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733 - Phone
- (843) 402-1436
- Fax
- (843) 402-1833
- NPI assigned
- May 20, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN210086 | GA | |
| Certified Registered Nurse Anesthetist | 367500000X | 26186 | SC | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 1-114291 | AL |
Addresses
Primary practice location
2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Mailing address
PO Box 632509
Cincinnati, OH 45263-2508
Phone (803) 765-1838
Other practice location 1
1984 Peachtree Rd. NW
Ste. 515
Atlanta, GA 30309-1281
Phone (404) 351-1745
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 822663026A | Medicaid | GA |
Other names 1
- Leah C Deanhardt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, SC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
130 Edge St
Summerville, SC 29486-3002
Phone (843) 764-0992
9313 Medical Plaza Dr
Suite 102
Charleston, SC 29406-9153
Phone (843) 797-8992
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-114291 | AL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trident Anesthesia Group, LLC | Current | Accepting new patients | |
| Coastal Anesthesia Associates, LLC | Current | Accepting new patients | |
| Progressive Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Piedmont Anesthesia Associates, L.L.C | Current | Accepting new patients | |
| Concordia Anesthesiology, Inc | Current | Accepting new patients | |
| Digestive Healthcare of Ga, P.C. | Past | Accepting new patients |
Locations
1984 Peachtree Rd NW
Ste 515
Atlanta, GA 30309
Phone (404) 351-1754
1265 Highway 54 W
Ste 402
Fayetteville, GA 30214
Phone (770) 719-3240
1265 Highway 54 W
Ste 401
Fayetteville, GA 30214
Phone (678) 617-6505
745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785
11650 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 543-8132
423 Barony St
Moncks Corner, SC 29461
9263 Medical Plaza Dr
Ste E
North Charleston, SC 29406
Phone (843) 572-1228
9313 Medical Plaza Dr
Ste 102
North Charleston, SC 29406
Phone (843) 572-1228
130 Edge St
Summerville, SC 29486
Phone (843) 628-5816
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Charleston, SC
- NPI 1942252176
-
- Anesthesiology Physician
- Charleston, SC
- NPI 1376595520
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1619296464
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1407856594
-
- Anesthesiology Physician
- Fayetteville, GA
- NPI 1215225560
Nurse Anesthetist, Certified Registered
-
- Gastroenterology Physician
- Atlanta, GA
- NPI 1558365247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781654400000",
"number": "1346569035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 632509",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452632508",
"telephone_number": "803-765-1838",
"fax_number": "803-765-1732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2095 HENRY TECKLENBURG DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294145733",
"telephone_number": "843-402-1436",
"fax_number": "843-402-1833"
}
],
"practiceLocations": [
{
"address_1": "1984 Peachtree Rd. NW",
"address_2": "Ste. 515",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303091281",
"country_code": "US",
"telephone_number": "404-351-1745",
"fax_number": "404-351-7121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOGLE",
"first_name": "LEAH",
"middle_name": "DEANHARDT",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-20",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN210086",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "26186",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1-114291",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "822663026A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LEAH",
"last_name": "DEANHARDT",
"middle_name": "C",
"credential": "CRNA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.