Individual provider Active NPI

Leigh Ann Stephens Wilson, NP-C

  • Adult Health Nurse Practitioner
  • Franklin, TN
National Provider Identifier
1376911529
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AG0815143 Issued in GA
Practice address
201 Jordan Rd Ste 200
Franklin, TN 37067-4495
Phone
(706) 474-4235
Fax
(877) 319-4345
NPI assigned
Sep 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AG0815143 GA Primary

Addresses

Primary practice location

201 Jordan Rd Ste 200
Franklin, TN 37067-4495

Mailing address

163 Sebastian Dr
Eatonton, GA 31024-5750
Phone (706) 474-4235

Other identifiers 1

IdentifierTypeStateIssuer
003168421AMedicaidGA

Other names 1

  • Miss Leigh Ann Stephens Former name

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
I20151204002112 GA Practitioner - Nurse Practitioner 8628378171 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AG0815143GAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Truhealth, LLC CurrentSince Jan 1, 2019 Accepting new patients

Locations

325 Allen Memorial Dr SW
Milledgeville, GA 31061
Phone (478) 453-8514

201 Jordan Rd
Ste 200
Franklin, TN 37067
Phone (615) 595-8383

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.

NPI Registry JSON

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1376911529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 SEBASTIAN DR",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310245750",
            "telephone_number": "706-474-4235",
            "fax_number": "877-319-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 JORDAN RD STE 200",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370674495",
            "telephone_number": "706-474-4235",
            "fax_number": "877-319-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS WILSON",
        "first_name": "LEIGH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-04",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "AG0815143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003168421A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEIGH",
            "last_name": "STEPHENS",
            "middle_name": "ANN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.