Lesley Maples, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9102994 Issued in FL

Practice address

3334 Capital Medical Blvd
Ste 400
Tallahassee, FL 32308-4470

Phone

(850) 877-8174

NPI assigned

May 27, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA, FL2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

• Georgia Em-I Medical Services. LLC

  • Nurse Practitioner
  • Bremen, GA
  • NPI 1851569560

  Physician Assistant

  Medicare reassignment NPD
• Hospital Authority of the City of Bainbridge and Decatur County

  dba Memorial Hospital and Manor

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  Medicare reassignment NPD
• Southland-Nashville Emergency Services, LLC.

  • Emergency Medicine Physician
  • Nashville, GA
  • NPI 1639467038
  Medicare reassignment NPD
• DMH Emergency Physician Group, LLC

  • Emergency Medicine Physician
  • Perry, FL
  • NPI 1922253665
  Medicare reassignment
• Emergency Medicine Services of FL, LLC

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1043917180
  Medicare reassignment
• PMS 68 LLC

  dba d/b/a Grady primary Care

  • Family Medicine Physician
  • Cairo, GA
  • NPI 1124638614
  Medicare reassignment
• South Georgia Emergency Medicine Associates PC

  • Emergency Medicine Physician
  • Thomasville, GA
  • NPI 1386903649
  Medicare reassignment
• Southland Bainbridge Hospitalist Group, LLC

  • Hospitalist Physician
  • Bainbridge, GA
  • NPI 1356735336
  Medicare reassignment
• Southland Consolidated Emergency Services, LLC

  • Emergency Medicine Physician
  • Elberton, GA
  • NPI 1174917124
  Medicare reassignment
• Southland Emergency Medical Services, L.L.C

  • Emergency Medicine Physician
  • Thomasville, GA
  • NPI 1477701472
  Medicare reassignment
• Georgia Em-I Medical Services, LLC

  • Nurse Practitioner
  • Covington, GA
  • NPI 1255213005

  Physician Assistant

  NPD
• Georgia Em-I Medical Services, PC

  • Emergency Medicine Physician
  • Smyrna, GA
  • NPI 1356399679
  NPD

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578566121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 BURT PHILLIPS RD",
            "city": "CLIMAX",
            "state": "GA",
            "postal_code": "398342666",
            "telephone_number": "229-248-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3334 CAPITAL MEDICAL BLVD",
            "address_2": "STE 400",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084470",
            "telephone_number": "850-877-8174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAPLES",
        "first_name": "LESLEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291956700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Selvan Manthiram, DDS
• Jennifer Manuel, RDH
• Jessica Manzanillo
• Reinaldo Manzo Jr.
• Jennifer S Maphis, DPT
• Ericka Cathy-Joi Mapp, M.D.
• Vincent Saludar Maralit
• Brittney Nicole Marcano
• Mark L Marcewicz, PA
• Sarah Marchigiano

• Physician Assistant in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Physician Assistant in Florida

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.