Active NPI
Baxter Leonard, M.D.
- Family Medicine Physician
- Hickory, NC
National Provider Identifier
1609855246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 18016
- Practice address
- 24 2ND Ave NE
Hickory, NC 28601-5045 - Phone
- (828) 328-2231
- Fax
- (828) 323-1562
- NPI assigned
- Jan 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 18016 | NC | |
| Family Medicine Physician | 207Q00000X | 18016 | NC | Primary |
Addresses
Primary practice location
24 2ND Ave NE
Hickory, NC 28601-5045
Mailing address
PO Box 890273
Charlotte, NC 28289-0273
Phone (828) 328-2231
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8951732 | Medicaid | NC | |
| CN8132 | Other | NC | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18016 | NC | MD | Legal Medicine |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Health Care PA | Current | Accepting new patients | |
| Wake Forest Health Network LLC | Current | Accepting new patients | |
| Wake Forest Health Network, LLC | Current | Accepting new patients | |
| Crown Health Care PA | Past | Accepting new patients | |
| Cornerstone Health Care PA | Past | Accepting new patients | |
| Crown Health Care, PA | Past | Accepting new patients |
Locations
2359 Springs Rd NE
Hickory, NC 28601
Phone (828) 210-2803
24 2nd Ave NE
Hickory, NC 28601
Phone (828) 324-9900
905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040
1701 Westchester Dr
Ste 850
High Point, NC 27262
Phone (336) 802-2400
Organizations & group practices 6
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458604800000",
"number": "1609855246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 890273",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282890273",
"telephone_number": "828-328-2231",
"fax_number": "828-323-1562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 2ND AVE NE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286015045",
"telephone_number": "828-328-2231",
"fax_number": "828-323-1562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONARD",
"first_name": "BAXTER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-12",
"last_updated": "2016-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "NC",
"license": "18016",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "18016",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8951732",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "CN8132",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.