Active NPI
Jennifer Le
- Physician Assistant
- Montgomery, AL
National Provider Identifier
1417776329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2500
- Practice address
- 400 Taylor Rd
Montgomery, AL 36117-3512 - Phone
- (334) 277-8330
- NPI assigned
- Oct 8, 2024
- Last updated
- Sep 15, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 14353 | GA | |
| Physician Assistant | 363A00000X | 2500 | AL | Primary |
Addresses
Primary practice location
400 Taylor Rd
Montgomery, AL 36117-3512
Mailing address
265 Brookview Centre Way Ste 400
Knoxville, TN 37919-4052
Other practice location 1
5665 New Northside Dr Ste 320
Sandy Springs, GA 30328-5834
Phone (404) 645-7645
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2500 | AL | MD | Physician Assistant |
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Prattville, AL
- NPI 1528310323
-
- Emergency Medicine Physician
- Birmingham, AL
- NPI 1225071459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789430400000",
"number": "1417776329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 BROOKVIEW CENTRE WAY STE 400",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379194052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 TAYLOR RD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361173512",
"telephone_number": "334-277-8330"
}
],
"practiceLocations": [
{
"address_1": "5665 New Northside Dr Ste 320",
"address_purpose": "LOCATION",
"city": "Sandy Springs",
"state": "GA",
"postal_code": "303285834",
"country_code": "US",
"telephone_number": "404-645-7645",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LE",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-08",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "14353",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AL",
"license": "2500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; 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.