Individual provider Active NPI

Leslie Quick, FNP-C

  • Family Nurse Practitioner
  • Griffin, GA
National Provider Identifier
1467019315
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN169921 Issued in GA
Practice address
822 S Hill St
Griffin, GA 30224-4842
Phone
(770) 228-1811
NPI assigned
May 28, 2019
Last updated
Sep 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN169921 GA Primary
Registered Nurse 163W00000X GA169921 GA

Addresses

Primary practice location

822 S Hill St
Griffin, GA 30224-4842

Mailing address

105 N Knotty CT
Forsyth, GA 31029-4261
Phone (678) 588-1353

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
I20190725001870 GA Practitioner - Nurse Practitioner 5395071575 Reassigns benefits to 2 organizations

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
Avamed Health Care LLCGroup PAC ID 9032566138, 4 clinicians

Practice addresses (Care Compare)

205 Tom Hill Sr Blvd
Suite B
Macon, GA 31210-1932
Phone (404) 488-9384

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
GA169921GAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnect Health, Inc. CurrentSince Jun 11, 2019 Accepting new patients
Avamed Health Care LLC CurrentSince May 10, 2024 Accepting new patients
Arvhamed Primary Care LLC CurrentSince Apr 27, 2025 Accepting new patients
Careconnect Health, Inc. CurrentSince Jun 11, 2019 Accepting new patients
Careconnect Health, Inc. Past Accepting new patients

Locations

822 S Hill St
Griffin, GA 30224
Phone (770) 228-1181

205 Tom Hill SR Blvd
Ste B
Macon, GA 31210
Phone (404) 488-9384

510 Alston St
Ste B
Richland, GA 31825
Phone (229) 887-3324

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1467019315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N KNOTTY CT",
            "city": "FORSYTH",
            "state": "GA",
            "postal_code": "310294261",
            "telephone_number": "678-588-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 S HILL ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244842",
            "telephone_number": "770-228-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUICK",
        "first_name": "LESLIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN169921",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "GA169921",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffin, GA

Sources for this page

Verify at the official NPI Registry.