Leah K Middendorf, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN160477 Issued in GA

Practice address

2774 Cobb Pkwy NW
Ste 201
Kennesaw, GA 30152-3469

Phone

(678) 569-0144

Fax

(678) 569-0145

NPI assigned

Jun 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• David E Kim MD PC

  • Internal Medicine Physician
  • Cartersville, GA
  • NPI 1194919381
  NPD (past)
• The Healthcaring Clinic of Georgia, LLC

  • Family Nurse Practitioner
  • Cartersville, GA
  • NPI 1669539508
  NPD (past)
• Wellstar Medical Group, LLC

  • Pulmonary Disease Physician
  • Marietta, GA
  • NPI 1639475270
  NPD (past)

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497957013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 BERMUDA CT",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301574624",
            "telephone_number": "770-445-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2774 COBB PKWY NW",
            "address_2": "STE 201",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301523469",
            "telephone_number": "678-569-0144",
            "fax_number": "678-569-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDENDORF",
        "first_name": "LEAH",
        "middle_name": "K",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN160477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Metro Surgical Assistants
• Metropolitan Health Care Plus Inc
• Michael a. Levinson, DC, PC
• Karen E Michael, MA, NCC
• Hannah Michelena, RN
• Jayne Thenise Middlebrooks, M.D.
• Chelsea E Middleton, DMD
• Taylor Crow Middleton, PT, DPT
• Midstate Industrial Inc.
• Lindsey Mikolaicik, RDN, LD

• Family Nurse Practitioner in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.