Individual provider Active NPI

Leondra Hillery

  • Certified Registered Nurse Anesthetist
  • Tampa, FL
National Provider Identifier
1396127379
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2078608 Issued in FL
Practice address
400 N Ashley Dr Ste 1625
Tampa, FL 33602-4395
Phone
(813) 844-4434
Fax
(813) 844-4972
NPI assigned
Jun 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 2078608 FL Primary

Addresses

Primary practice location

400 N Ashley Dr Ste 1625
Tampa, FL 33602-4395

Mailing address

1 Tampa General Cir Ste A327
Tampa, FL 33606-3571
Phone (813) 844-4434

Other practice location 1

1000 Johnson Fy Rd NE
Atlanta, GA 30342-1606
Phone (404) 300-2476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201005000184 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1153631098 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

80 Gilmer St SE
Atlanta, GA 30303-3017
Phone (404) 616-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as group
Quality
87.56
Promoting interoperability
100
Improvement activities
40
Cost
75.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
2078608FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
CSP Anesthesia LLC CurrentSince Nov 1, 2020 Accepting new patients
North Atlanta Professional Services LLC CurrentSince Jun 16, 2021 Accepting new patients
Northside Primary Care Professional Services, LLC CurrentSince May 20, 2021 Accepting new patients
Northlake Anesthesia Professionals, LLC CurrentSince Sep 1, 2020 Accepting new patients
Gi Anesthesia of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2024 Accepting new patients
Perimeter Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2020 Accepting new patients
Avvsc Lawrenceville, LLC CurrentSince Jul 2, 2023 Accepting new patients
Coastal Ambulatory Anesthesia LLC CurrentSince Apr 1, 2024 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Jul 1, 2024 Accepting new patients
Northside Primary Care Professional Services,LLC Current Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Jul 1, 2024 Accepting new patients
Anesthesia Solutions of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2022 Accepting new patients
Avvc Anesthesia, LLC CurrentSince Nov 1, 2020 Accepting new patients
Forsyth Eye Surgery Center, LLC Past Accepting new patients
Buford Eye Surgery Center Past Accepting new patients
Roswell Eye Surgery Center, LLC Past Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Past Accepting new patients
Alpharetta Eye Surgery Center LLC Past Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

4200 Northside Pkwy NW
Ste 8
Atlanta, GA 30327
Phone (404) 233-3833

1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499

600 Professional Dr
Ste 160B
Lawrenceville, GA 30046
Phone (678) 878-4555

600 Professional Dr
Ste 160A
Lawrenceville, GA 30046
Phone (678) 878-4555

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

939 Bob Arnold Blvd
Ste G
Lithia Springs, GA 30122
Phone (470) 827-3648

2401 Newnan Crossing Blvd E
Ste 130
Newnan, GA 30265
Phone (678) 794-2106

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

5505 Roswell Rd
Ste 350B
Sandy Springs, GA 30342

1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200

165 N Park Trl
Ste 100
Stockbridge, GA 30281
Phone (770) 506-1800

1365 Rock Quarry Rd
Ste 301
Stockbridge, GA 30281
Phone (770) 380-8299

3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633

1491 Montreal Rd
Tucker, GA 30084
Phone (770) 270-1284

403 Permian Way
Ste D
Villa Rica, GA 30180
Phone (470) 827-3648

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1396127379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TAMPA GENERAL CIR STE A327",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063571",
            "telephone_number": "813-844-4434",
            "fax_number": "813-844-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N ASHLEY DR STE 1625",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336024395",
            "telephone_number": "813-844-4434",
            "fax_number": "813-844-4972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Johnson Fy Rd NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421606",
            "country_code": "US",
            "telephone_number": "404-300-2476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILLERY",
        "first_name": "LEONDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-25",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "2078608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.

Verify at the official NPI Registry.