Individual provider Active NPI

Daphne Michelle Ray-Leverett, FNP

  • Family Nurse Practitioner
  • McDonough, GA
National Provider Identifier
1700251428
Registry record updated Jan 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
167925 Issued in GA
Practice address
105 Highgrove PL
McDonough, GA 30253-5979
Phone
(678) 699-9496
NPI assigned
Dec 7, 2015
Last updated
Jan 2, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2016

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 167925 GA Primary

Addresses

Primary practice location

105 Highgrove PL
McDonough, GA 30253-5979

Mailing address

105 Highgrove Place
McDonough, GA 30253
Phone (678) 699-9496

Other names 1

  • Daphne Michelle Ray-Leverett Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170505001750 GA Practitioner - Nurse Practitioner 9830476522 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
167925GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Medical Consulting, P.C. CurrentSince Feb 11, 2017 Accepting new patients
Vpa PC CurrentSince Nov 1, 2023 Accepting new patients
Infinite Medical PC CurrentSince Sep 1, 2024 Accepting new patients
Vpa PC CurrentSince Nov 1, 2023 Accepting new patients
Theoria Medical CurrentSince Sep 30, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Dec 7, 2025 Accepting new patients

Locations

1372 Peachtree St NE
Ste 100
Atlanta, GA 30309
Phone (470) 964-1700

3715 Northside Pkwy NW
Bldg 2100
Atlanta, GA 30327
Phone (770) 938-1757

22 Maple Ridge Dr
Cartersville, GA 30121
Phone (770) 606-8800

604 N Camellia Blvd
Fort Valley, GA 31030
Phone (478) 355-3000

289 S Culver St
Lawrenceville, GA 30046
Phone (404) 458-0809

420 Myrtle Dr
Roberta, GA 31078
Phone (478) 836-3101

501 E McCarty St
Sandersville, GA 31082
Phone (478) 552-5155

7300 Lester Rd
Union City, GA 30291
Phone (770) 703-2604

250 Skillman St
Ste 202
Brooklyn, NY 11205

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451692800000",
    "number": "1700251428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 HIGHGROVE PLACE",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "30253",
            "telephone_number": "678-699-9496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HIGHGROVE PL",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302535979",
            "telephone_number": "678-699-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY-LEVERETT",
        "first_name": "DAPHNE",
        "middle_name": "MICHELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-07",
        "last_updated": "2016-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "167925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAPHNE",
            "last_name": "RAY-LEVERETT",
            "middle_name": "MICHELLE",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in McDonough, GA

Sources for this page

Verify at the official NPI Registry.