Individual provider Active NPI

Ashley E Wofford Leong, MD, MPH, NABBLM-C

  • Family Medicine Physician
  • Cary, NC
National Provider Identifier
1437412871
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2017-00311 Issued in NC
Practice address
455 Swiftside Dr Ste 105
Cary, NC 27518-7200
Phone
(919) 335-8203
Fax
(510) 256-7893
NPI assigned
Jun 20, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R73428 AZ
Family Medicine Physician 207Q00000X 2017-00311 NC Primary

Addresses

Primary practice location

455 Swiftside Dr Ste 105
Cary, NC 27518-7200

Mailing address

455 Swiftside Dr Ste 105
Cary, NC 27518-7200
Phone (919) 335-8203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230927000974 NC Order and Referring Only - Family PracticePractitioner - Family Practice 5496067555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R73428AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Generations Family Practice, PA Family Medicine Past Accepting new patients

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": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1437412871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 SWIFTSIDE DR STE 105",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187200",
            "telephone_number": "919-335-8203",
            "fax_number": "510-256-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SWIFTSIDE DR STE 105",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187200",
            "telephone_number": "919-335-8203",
            "fax_number": "510-256-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOFFORD LEONG",
        "first_name": "ASHLEY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD, MPH, NABBLM-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "R73428",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2017-00311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.