Individual provider Active NPI

Lesley Dale Teel, NP-C

  • Family Nurse Practitioner
  • Opelika, AL
National Provider Identifier
1659612299
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN175477 Issued in GA
Practice address
2123 Executive Park Dr
Opelika, AL 36801-6041
Phone
(334) 275-9595
Fax
(706) 223-1934
NPI assigned
Mar 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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 RN175477 GA Primary

Addresses

Primary practice location

2123 Executive Park Dr
Opelika, AL 36801-6041

Mailing address

2123 Executive Park Dr
Opelika, AL 36801-6041
Phone (334) 275-9595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 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
I20130615000145 GA Practitioner - Nurse Practitioner 7012156433 Reassigns benefits to 5 organizations
I20200519001467 AL Practitioner - Nurse Practitioner 7012156433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heritage Physician Services LLCGroup PAC ID 6305100850, 33 clinicians
Inphynet Primary Care Physicians Southeast PCGroup PAC ID 3779497045, 71 clinicians
Rivertown Psychiatry PCGroup PAC ID 1153575410, 27 clinicians
Emergency Group of Columbus LLCGroup PAC ID 2668735515, 40 clinicians

Practice addresses (Care Compare)

100 Frist CT
Columbus, GA 31909-3578
Phone (706) 494-2100

2122 Manchester Expy
Columbus, GA 31904-6878
Phone (706) 596-4000

2123 Executive Park Dr
Opelika, AL 36801-6041
Phone (334) 275-9595

710 Ctr St
Columbus, GA 31901-1527
Phone (706) 571-1000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Group of Columbus, LLC CurrentSince Dec 30, 2017 Accepting new patients
Rivertown Psychiatry, PC CurrentSince Nov 16, 2019 Accepting new patients
Inphynet Primary Care Physicians Southeast PC CurrentSince May 1, 2018 Accepting new patients
Heritage Physician Services, LLC CurrentSince May 22, 2018 Accepting new patients
Emergency Coverage Services, PC CurrentSince Jun 1, 2013 Accepting new patients

Locations

2123 Executive Park Dr
Opelika, AL 36801
Phone (334) 275-9595

705 17th St
Ste 410
Columbus, GA 31901
Phone (706) 223-1933

5700 Veterans Pkwy
Columbus, GA 31904
Phone (706) 221-3222

6003 Veterans Pkwy
Ste 100
Columbus, GA 31909
Phone (706) 223-1933

6003 Veterans Pkwy
Columbus, GA 31909
Phone (706) 222-1222

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

1520 22nd St
Columbus, GA 31901
Phone (706) 223-1933

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 5

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": "1362528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1659612299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 EXECUTIVE PARK DR",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368016041",
            "telephone_number": "334-275-9595",
            "fax_number": "706-223-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 EXECUTIVE PARK DR",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368016041",
            "telephone_number": "334-275-9595",
            "fax_number": "706-223-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEEL",
        "first_name": "LESLEY",
        "middle_name": "DALE",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-06",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN175477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelika, AL

Sources for this page

Verify at the official NPI Registry.