Individual provider Active NPI

Jeremy Leaf, DNP,FNP-BC

  • Family Nurse Practitioner
  • North Augusta, SC
National Provider Identifier
1629525969
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20430 Issued in SC
Practice address
107 Walnut LN Ste 101
North Augusta, SC 29860-8629
Phone
(803) 202-7159
Fax
(803) 202-7158
NPI assigned
Sep 3, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 20430 SC Primary

Addresses

Primary practice location

107 Walnut LN Ste 101
North Augusta, SC 29860-8629

Mailing address

PO Box 102038
Atlanta, GA 30368-2038
Phone (770) 801-2500

Other practice location 1

1 Freedom Way
Augusta, GA 30904-6258
Phone (706) 733-0188 ext. 26896

Other practice location 2

1520 Knox Ave
North Augusta, SC 29841-4010
Phone (803) 279-4120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 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
I20161214000942 SC Practitioner - Nurse Practitioner 6608156419 Reassigns benefits to 7 organizations
I20250618003517 GA Practitioner - Nurse Practitioner 6608156419 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upperline Healthcare PCGroup PAC ID 4385900653, 194 clinicians
Adcs Care Management 1 IncGroup PAC ID 5395247316, 21 clinicians
Village Podiatry Group II LLCGroup PAC ID 7719218437, 70 clinicians

Practice addresses (Care Compare)

1505 Professional CT
Dalton, GA 30720-2500
Phone (706) 259-6882

9600 Two Notch Rd
Suite 5
Columbia, SC 29223-1612
Phone (407) 219-5402

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Newberry, SC, CCN 427850
  • Aiken Regional Medical Center Hospital, Aiken, SC, CCN 420082

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
20430SCMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adcs Care Management 2 Inc CurrentSince Jul 25, 2025 Accepting new patients
Piedmont Professional Services, LLC CurrentSince Jan 20, 2024 Accepting new patients
Village Podiatry Group II, LLC. CurrentSince Jul 14, 2025 Accepting new patients
Piedmont Medical Care Corporation CurrentSince Dec 31, 2023 Accepting new patients
Upperline Healthcare, PC CurrentSince Jul 14, 2025 Accepting new patients
Village Podiatry Group II, LLC. CurrentSince Jul 14, 2025 Accepting new patients
Healogics Specialty Physicians of South Carolina, LLC CurrentSince Jul 15, 2024 Accepting new patients
Healogics Specialty Physicians of South Carolina, LLC CurrentSince Jul 15, 2024 Accepting new patients
Upperline Healthcare, PC CurrentSince Jul 14, 2025 Accepting new patients
Adcs Care Management 1 Inc CurrentSince Jul 25, 2025 Accepting new patients
Umg Primary Care South Carolina, LLC CurrentSince Dec 1, 2021 Accepting new patients

Locations

2045 Peachtree Rd NE
Ste 810
Atlanta, GA 30309
Phone (404) 351-0770

1505 Professional Ct
Dalton, GA 30720
Phone (706) 259-6882

1023 Silver Bluff Rd
Aiken, SC 29803
Phone (803) 502-5515

100 Aurora Pl
Aiken, SC 29801
Phone (803) 641-7850

1021 Silver Bluff Rd
Aiken, SC 29803
Phone (803) 648-0587

9600 Two Notch Rd
Ste 5
Columbia, SC 29223
Phone (239) 652-0260

200 Fleetwood Dr
Easley, SC 29640
Phone (864) 442-7200

107 Walnut Ln
#102
North Augusta, SC 29860
Phone (803) 202-7110

325 Georgia Ave
Ste 100
North Augusta, SC 29841
Phone (803) 202-3351

107 Walnut Ln
#101
North Augusta, SC 29860
Phone (803) 202-7159

325 Georgia Ave
Ste 200
North Augusta, SC 29841
Phone (803) 202-3351

4101 Charlotte Ave
Ste F185
Nashville, TN 37209
Phone (678) 426-2171

20 Burton Hills Blvd
Ste 200
Nashville, TN 37215

Interoperability endpoints

  • Direct secure messaging: jeremy.leaf.1@4399.direct.athenahealth.com

Organizations & group practices 12

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1472860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1629525969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102038",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682038",
            "telephone_number": "770-801-2500",
            "fax_number": "770-803-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 WALNUT LN STE 101",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298608629",
            "telephone_number": "803-202-7159",
            "fax_number": "803-202-7158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Freedom Way",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309046258",
            "country_code": "US",
            "telephone_number": "706-733-0188 x26896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1520 Knox Ave",
            "address_purpose": "LOCATION",
            "city": "North Augusta",
            "state": "SC",
            "postal_code": "298414010",
            "country_code": "US",
            "telephone_number": "803-279-4120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEAF",
        "first_name": "JEREMY",
        "credential": "DNP,FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-03",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "20430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Augusta, SC

Sources for this page

Verify at the official NPI Registry.