Individual provider Active NPI

Leydi Marcela Espinosa, DNP, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Norcross, GA
National Provider Identifier
1548955271
Registry record updated Aug 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
PMH08240005 Issued in GA
Practice address
5855 Jimmy Carter Blvd Ste 200
Norcross, GA 30071-2984
Phone
(404) 644-2257
NPI assigned
Apr 10, 2023
Last updated
Aug 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NR17238100 NJ
Family Nurse Practitioner 363LF0000X RN302178 GA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X PMH08240005 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X PMH08240005 GA Primary

Addresses

Primary practice location

5855 Jimmy Carter Blvd Ste 200
Norcross, GA 30071-2984

Mailing address

710 Dacula Rd Ste 4A310
Dacula, GA 30019-7061
Phone (973) 800-7815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20251111003301 DC Practitioner - Nurse Practitioner 9436688793 Reassigns benefits to 1 organization
I20260618003665 CT Practitioner - Nurse Practitioner 9436688793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN302178GAMDFamily Nurse Practitioner
26NR17238100NJMDFamily Nurse Practitioner
PMH08240005GAMDPsychiatric/Mental Health Nurse Practitioner
PMH08240005NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bilingual Mental Health Evaluations of Georgia, Inc CurrentSince Aug 4, 2024 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Oct 9, 2025 Accepting new patients
Grow Healthcare Group of New Jersey PC Psychiatric/Mental Health CurrentSince Jan 8, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

5855 Jimmy Carter Blvd
Ste 200
Norcross, GA 30071
Phone (404) 630-1361

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

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, 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": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723939200000",
    "number": "1548955271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 DACULA RD STE 4A310",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300197061",
            "telephone_number": "973-800-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5855 JIMMY CARTER BLVD STE 200",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300712984",
            "telephone_number": "404-644-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINOSA",
        "first_name": "LEYDI",
        "middle_name": "MARCELA",
        "name_prefix": "Dr.",
        "credential": "DNP,  FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-10",
        "last_updated": "2024-08-18",
        "certification_date": "2024-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NR17238100",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN302178",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "PMH08240005",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "PMH08240005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

Verify at the official NPI Registry.