Active NPI
Angela Christina Davis, NP
- Nurse Practitioner
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN185946
- Practice address
- 657 Hemlock St Ste 220
Macon, GA 31201-8311 - Phone
- (478) 741-7241
- Fax
- (478) 745-8932
- NPI assigned
- Sep 25, 2018
- Last updated
- Nov 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN185946 | GA | Primary |
| Acute Care Nurse Practitioner | 363LA2100X | 11081 | CT |
Addresses
Primary practice location
657 Hemlock St Ste 220
Macon, GA 31201-8311
Mailing address
192 Camdale CT
McDonough, GA 30252-2305
Phone (478) 777-0450
Other names 1
- Angela Christina Leggett
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group Specialists, PLLC | Single Specialty | Current | Accepting new patients |
| Hartford Healthcare Medical Group Specialists LLC | Current | Accepting new patients | |
| Cogent Healthcare of Georgia PC | Single Specialty | Current | Accepting new patients |
| NGX Lawrenceville Ga PC | Single Specialty | Current | Accepting new patients |
Locations
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500
1470 Lawrenceville Hwy
Lawrenceville, GA 30044
Phone (678) 486-7777
3545 Highway 81 E
McDonough, GA 30252
Phone (678) 486-7777
Interoperability endpoints
- aleggett1260528@nychhc.direct-ci.com
- angelaleggett@trh.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Macon, GA
- NPI 1609827823
Single Specialty
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
Single Specialty
-
- Physical Medicine & Rehabilitation Physician
- Lawrenceville, GA
- NPI 1730804642
Single Specialty
-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667433600000",
"number": "1679058614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "192 CAMDALE CT",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302522305",
"telephone_number": "478-777-0450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "657 HEMLOCK ST STE 220",
"city": "MACON",
"state": "GA",
"postal_code": "312018311",
"telephone_number": "478-741-7241",
"fax_number": "478-745-8932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ANGELA",
"middle_name": "CHRISTINA",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-25",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN185946",
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CT",
"license": "11081",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "LEGGETT",
"middle_name": "CHRISTINA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.