Nina Coleman Leonard, CPNP-PC, PMHCNS-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN044413 Issued in GA

Practice address

102 Lakeshore Dr Ste B
Saint Marys, GA 31558-3875

Phone

(912) 882-3800

Fax

(912) 882-3303

NPI assigned

Jan 7, 2011

Last updated

Dec 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

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 1

Specialty

Nurse Practitioner

Education

Medical College of Georgia School of Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Lighthorse Psychiatry LLC

  • Community/Behavioral Health Agency
  • Saint Marys, GA
  • NPI 1699208777
  Medicare reassignment NPD Authorized official
• Leonard Mental Health Services

  • Community/Behavioral Health Agency
  • Saint Marys, GA
  • NPI 1760138424
  NPD Authorized official

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

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1679877526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 LAKESHORE DR STE B",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583875",
            "telephone_number": "912-882-3800",
            "fax_number": "912-882-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 LAKESHORE DR STE B",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583875",
            "telephone_number": "912-882-3800",
            "fax_number": "912-882-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "NINA",
        "middle_name": "COLEMAN",
        "name_prefix": "Mrs.",
        "credential": "CPNP-PC, PMHCNS-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-07",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN044413",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN044413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003133857B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003133857A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan E. Lavery, LPC
• William H Lawrence, D.C.
• Kelsey Marie Leader, DPT
• Norman Arthur Lemieux, LCSW
• Leonard Mental Health Services
• Madelyn Leverette, RBT
• Carlos A Levy-Eliceiri, MD PA
• Ashley Maureen Levy, MSN, APRN, FNP-C
• Samantha Lewington, RBT
• Monica Lewis

• Nurse Practitioner in Saint Marys, GA
• Providers in Saint Marys, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.