Individual provider Active NPI

Leigh Whaley Knight

  • Family Nurse Practitioner
  • Athens, GA
National Provider Identifier
1376048967
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN185128 Issued in GA
Practice address
1061 Dowdy Rd Ste 101
Athens, GA 30606-5700
Phone
(706) 621-7575
NPI assigned
Mar 27, 2018
Last updated
Nov 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN185128 GA Primary

Addresses

Primary practice location

1061 Dowdy Rd Ste 101
Athens, GA 30606-5700

Mailing address

6460 Old Mill LN
Monroe, GA 30655-7911
Phone (770) 827-2591

Other identifiers 1

IdentifierTypeStateIssuer
RN185128MedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180921000162 GA Practitioner - Nurse Practitioner 1355691106 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Partners, LLCGroup PAC ID 3476085747, 9 clinicians

Practice addresses (Care Compare)

1070 Old Salem Rd
Greensboro, GA 30642-6476
Phone (708) 713-1904

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN185128GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Evirtualcare, LLC Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients
Athens Clarke Medical Enterprises LLC CurrentSince Apr 1, 2020 Accepting new patients
Premier Health Partners, LLC Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Athens Clarke Medical Enterprises LLC CurrentSince Apr 1, 2020 Accepting new patients
Reddy Urgent Care-Monroe LLC CurrentSince Aug 22, 2018 Accepting new patients

Locations

1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100

500 Great Oaks Dr
Ste 9
Monroe, GA 30655
Phone (678) 905-9121

709 Breedlove Dr
Monroe, GA 30655
Phone (678) 635-3500

3995 S Cobb Dr SE
Smyrna, GA 30080
Phone (770) 434-4567

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 5

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": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1376048967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6460 OLD MILL LN",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306557911",
            "telephone_number": "770-827-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 DOWDY RD STE 101",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306065700",
            "telephone_number": "706-621-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "LEIGH",
        "middle_name": "WHALEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN185128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN185128",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.