Individual provider Active NPI

Baxter Leonard, M.D.

  • Family Medicine Physician
  • Hickory, NC
National Provider Identifier
1609855246
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18016 Issued in NC
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

Updated by the provider on Mar 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8951732MedicaidNC
CN8132OtherNCMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081113000619 NC Practitioner - Family Practice 2769542299 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18016NCMDLegal Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Health Care PA CurrentSince Jun 1, 2012 Accepting new patients
Wake Forest Health Network LLC Current Accepting new patients
Wake Forest Health Network, LLC CurrentSince Jun 1, 2012 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.

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

Verify at the official NPI Registry.