Individual provider Active NPI

Leigh Hendley, FNP-C

  • Family Nurse Practitioner
  • Nashville, GA
National Provider Identifier
1437795572
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN138247 Issued in GA
Practice address
603 E Dennis Ave
Nashville, GA 31639-2510
Phone
(229) 433-8730
Fax
(229) 433-8748
NPI assigned
Nov 25, 2019
Last updated
Mar 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 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 RN138247 GA Primary

Addresses

Primary practice location

603 E Dennis Ave
Nashville, GA 31639-2510

Mailing address

2694 Possum Creek Rd
Ray City, GA 31645-6640
Phone (229) 561-1461

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
I20231219003738 GA Practitioner - Nurse Practitioner 7911390133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SGMC Physician Network IncGroup PAC ID 4082036843, 128 clinicians

Practice addresses (Care Compare)

603 E Dennis Ave
Nashville, GA 31639-2510
Phone (229) 433-8730

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN138247GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SGMC Affiliated Services LLC Current Accepting new patients
SGMC Physician Network Inc CurrentSince Dec 1, 2023 Accepting new patients

Locations

603 E Dennis Ave
Nashville, GA 31639
Phone (229) 433-8730

4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
South Central Family MedicinePearson, GA, CCN 111899 Federally qualified health center Corporate Director May 1, 2022
South Central Primary CareDouglas, GA, CCN 111858 Federally qualified health center Corporate Officer Feb 1, 2022
Betty Dupree Health Care CenterNashville, GA, CCN 111017 Federally qualified health center Corporate Officer Feb 1, 2022
South Central Family Health CareOcilla, GA, CCN 111115 Federally qualified health center Corporate Officer Apr 20, 2021
South Central Primary Care- Ashley StreetValdosta, GA, CCN C21012 Federally qualified health center Corporate Officer Apr 20, 2021

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 2

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": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1437795572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2694 POSSUM CREEK RD",
            "city": "RAY CITY",
            "state": "GA",
            "postal_code": "316456640",
            "telephone_number": "229-561-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 E DENNIS AVE",
            "city": "NASHVILLE",
            "state": "GA",
            "postal_code": "316392510",
            "telephone_number": "229-433-8730",
            "fax_number": "229-433-8748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDLEY",
        "first_name": "LEIGH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-25",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN138247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, GA

Sources for this page

Verify at the official NPI Registry.