Individual provider Active NPI

Kim R Leverett, APRN, BC

  • Nurse Practitioner
  • Covington, GA
National Provider Identifier
1467653394
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN140100 CNS PMH NP Issued in GA
Practice address
5278 Adams St NE
Covington, GA 30014-2628
Phone
(770) 786-2201
Fax
(770) 786-0270
NPI assigned
May 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN140100 CNS PMH NP GA Primary

Addresses

Primary practice location

5278 Adams St NE
Covington, GA 30014-2628

Mailing address

5278 Adams St NE
Covington, GA 30014-2628
Phone (770) 786-2201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN140100 CNS PMH NPGAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Salveo Integrative Health PastSince Jul 24, 2022 Accepting new patients
Advantage Behavioral Health Systems PastSince Nov 4, 2009 Accepting new patients
Newton County Medical Associates, PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kim.leverett@advantage.gadirect.net

Organizations & group practices 3

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": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467653394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5278 ADAMS ST NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142628",
            "telephone_number": "770-786-2201",
            "fax_number": "770-786-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5278 ADAMS ST NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142628",
            "telephone_number": "770-786-2201",
            "fax_number": "770-786-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVERETT",
        "first_name": "KIM",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN140100 CNS PMH NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

Verify at the official NPI Registry.