Leia Marlena Thornton, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA435 Issued in AL

Practice address

2650 Gunter Park Drive East
Montgomery, AL 36109

Phone

(334) 523-6395

Fax

(334) 523-6390

NPI assigned

May 20, 2006

Last updated

Aug 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Jackson Hospital and Clinic, Inc.

  • Emergency Medicine Physician
  • Montgomery, AL
  • NPI 1073264107
  Medicare reassignment
• Jackson Hospital & Clinic, Inc.

  dba Jackson Pelvic Floor Therapy

  • Physical Therapist
  • Montgomery, AL
  • NPI 1265325823
  NPD
• Jackson Hospital and Clinic Inc.

  dba Jackson Family Medicine

  • Family Medicine Physician
  • Montgomery, AL
  • NPI 1023317666
  NPD
• Premise Health of Alabama Medical PC

  dba Premise Health Wellness Center at Rheem

  • Multi-Specialty Clinic/Center
  • Montgomery, AL
  • NPI 1619495041
  NPD
• Alabama Surgical Consultants

  • Surgery Physician
  • Montgomery, AL
  • NPI 1427149731
  NPD (past)
• Global Imaging Specialists, LLC

  • Diagnostic Radiology Physician
  • Tarpon Springs, FL
  • NPI 1295171643
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1376597518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 GUNTER PARK DR EAST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36109",
            "telephone_number": "334-523-6395",
            "fax_number": "334-523-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 GUNTER PARK DRIVE EAST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36109",
            "telephone_number": "334-523-6395",
            "fax_number": "334-523-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "LEIA",
        "middle_name": "MARLENA",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA435",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AL",
            "license": "PA435",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009936221",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51533432",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06437010",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1504297",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Thornhill, LPC
• Tracey Elaine Thornton-Kinard, RD
• Casey Thornton, CRNP
• Heather C Thornton, D.M.D.
• Joseph Ashley Thornton, PT
• Lisa Joy Thornton, PHARM.D.
• Mark Thornton
• Michael Lee Thornton, MS, EDS, LPC
• Robert Drummond Thornton II, M.D.
• Ellen Colley Thrash, CRNP

• Physician Assistant in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.