Penny Leigh Velie, NP.-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN256045 Issued in GA

Practice address

88 Clinic Rd
Tate, GA 30177-2588

Phone

(904) 759-3255

NPI assigned

Oct 13, 2006

Last updated

Feb 7, 2017By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Power Spine & Pain

  • Interventional Pain Medicine Physician
  • St Augustine, FL
  • NPI 1558133694
  NPD (past)
• Southlake Family Practice PA

  • Primary Care Clinic/Center
  • St Augustine, FL
  • NPI 1225247810
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1508956392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10180 BIG CANOE",
            "city": "BIG CANOE",
            "state": "GA",
            "postal_code": "301435118",
            "telephone_number": "904-759-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 CLINIC RD",
            "city": "TATE",
            "state": "GA",
            "postal_code": "301772588",
            "telephone_number": "904-759-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELIE",
        "first_name": "PENNY",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "NP.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN256045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Lenae Morgan
• Mountainside Compounding LLC
• Megan Lynn Murr, NP-C
• Tate Medical Associates, LLC
• Dayna Timmer, PHARM.D.
• Alexandria White

• Family Nurse Practitioner in Tate, GA
• Providers in Tate, 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 Feb 7, 2017; 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.