Individual provider Active NPI

Elizabeth Rebecca Lynn McLeish, FNP-C

  • Family Nurse Practitioner
  • Jefferson, GA
National Provider Identifier
1417188012
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN151929 Issued in GA
Practice address
1689 Old Pendergrass Rd Ste 340
Jefferson, GA 30549-2716
Phone
(706) 708-2344
Fax
(706) 708-2342
NPI assigned
Jul 30, 2009
Last updated
Nov 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 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 RN151929 GA Primary

Addresses

Primary practice location

1689 Old Pendergrass Rd Ste 340
Jefferson, GA 30549-2716

Mailing address

1689 Old Pendergrass Rd Ste 340
Jefferson, GA 30549-2716
Phone (067) 082-3447

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
I20120828000670 GA Practitioner - Nurse Practitioner 6406003375 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3320 Old Jefferson Rd
Athens, GA 30607-1400
Phone (706) 353-2990

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Cancer & Blood Center LLC CurrentSince May 27, 2025 Accepting new patients
Caap Medical Group CurrentSince Feb 21, 2023 Accepting new patients
Apogee Medical Group Georgia Inc CurrentSince Jul 15, 2012 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Jan 1, 2015 Accepting new patients
Northeast Georgia Physicians Group Inc CurrentSince Mar 1, 2017 Accepting new patients
University Health Alliance Past Accepting new patients

Locations

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

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

3320 Old Jefferson Rd
Bldg 700
Athens, GA 30607
Phone (706) 224-6348

3320 Old Jefferson Rd
Bldg 800
Athens, GA 30607
Phone (706) 353-2290

3320 Old Jefferson Rd
Ste 600
Athens, GA 30607
Phone (706) 549-4155

1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000

1404 River Pl
Ste 201
Braselton, GA 30517
Phone (770) 219-4000

110 Mercer Pl
Commerce, GA 30529
Phone (706) 335-2302

4182 Highway 278 NE
Covington, GA 30014
Phone (678) 712-6921

119 Harmony Xing
Ste 1
Eatonton, GA 31024
Phone (762) 220-1880

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

1689 Old Pendergrass Rd
Ste 340
Jefferson, GA 30549
Phone (706) 708-2344

355 Clear Creek Pkwy
Ste 2007
Lavonia, GA 30553
Phone (706) 356-2934

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

2151 W Spring St
Ste B200
Monroe, GA 30655
Phone (770) 267-0724

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

3991 Highway 78 W
Ste 102
Snellville, GA 30039
Phone (706) 715-2010

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575

1656 Falls Rd
Ste B
Toccoa, GA 30577
Phone (706) 886-0392

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

1460 Resurgence Dr
Watkinsville, GA 30677
Phone (706) 715-2410

295 N Broad St
Winder, GA 30680
Phone (678) 963-0939

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1417188012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1689 OLD PENDERGRASS RD STE 340",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305492716",
            "telephone_number": "067-082-3447",
            "fax_number": "706-708-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1689 OLD PENDERGRASS RD STE 340",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305492716",
            "telephone_number": "706-708-2344",
            "fax_number": "706-708-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEISH",
        "first_name": "ELIZABETH",
        "middle_name": "REBECCA LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-30",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN151929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, GA

Sources for this page

Verify at the official NPI Registry.