Karen Boesch- Leverett

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

001105 Issued in GA

Practice address

265 Sheraton Blvd
Macon, GA 31210-1359

Phone

(678) 427-7570

NPI assigned

Sep 4, 2018

Sex

Female

Sole proprietor

Yes

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

Enrolled in GA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thomas C Jones, M.D., P.C.Group PAC ID 2769558030, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Thomas C Jones, M.D., P.C.

  • Endocrinology, Diabetes & Metabolism Physician
  • Macon, GA
  • NPI 1366624199
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1508348772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 RIVER OVERLOOK",
            "city": "FORSYTH",
            "state": "GA",
            "postal_code": "310294859",
            "telephone_number": "678-427-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 SHERATON BLVD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101359",
            "telephone_number": "678-427-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOESCH- LEVERETT",
        "first_name": "KAREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "001105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jo Ann Marie Blythe, NP
• Mary-Katherine McKenzie Boatright, NP-C
• Samuel French Boatright, MD
• Davis Bobbitt
• Joseph F Bodin III, PA-AA
• Rebecca Bogle
• Bola Sogade, MD, LLC
• Boland Prosthetic & Orthotic Center LLC
• Christian Joseph Bolea, M.D.
• Charles Boling, PA

• Registered Dietitian in Macon, GA
• Providers in Macon, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.