Individual provider Active NPI

Leanna K Andrews, FNP-BC

  • Primary Care Nurse Practitioner
  • Lagrange, GA
National Provider Identifier
1730614934
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN191140 Issued in GA
Practice address
303 Smith St
Lagrange, GA 30240-2745
Phone
(404) 778-7777
NPI assigned
Apr 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN191140 GA
Family Nurse Practitioner 363LF0000X RN191140 GA
Primary Care Nurse Practitioner 363LP2300X RN191140 GA Primary

Addresses

Primary practice location

303 Smith St
Lagrange, GA 30240-2745

Mailing address

PO Box 4475
Columbus, GA 31914-0475
Phone (706) 392-5747

Other practice location 1

6400 Flat Rock Rd
Columbus, GA 31907-5972
Phone (706) 478-5858

Other practice location 2

2122 Manchester Expy
Columbus, GA 31904-6878
Phone (706) 392-5747

Other practice location 3

1400 Bradley Lake Blvd
Columbus, GA 31904-3688
Phone (706) 507-2050

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
I20190110002417 GA Practitioner - Nurse Practitioner 9234475351 Reassigns benefits to 1 organization
Practice locations: Atlanta, GA

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
East Alabama Endocrinology, P.C. CurrentSince Dec 1, 2018 Accepting new patients
Capri Medical Group Past Accepting new patients

Locations

3320 Skyway Dr
Ste 602
Opelika, AL 36801
Phone (334) 737-2737

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

1400 Bradley Lake Blvd
Columbus, GA 31904
Phone (334) 737-2737

Organizations & group practices 2

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": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1730614934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4475",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319140475",
            "telephone_number": "706-392-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 SMITH ST",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302402745",
            "telephone_number": "404-778-7777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6400 Flat Rock Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319075972",
            "country_code": "US",
            "telephone_number": "706-478-5858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2122 Manchester Expy",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319046878",
            "country_code": "US",
            "telephone_number": "706-392-5747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Bradley Lake Blvd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319043688",
            "country_code": "US",
            "telephone_number": "706-507-2050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "LEANNA",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-25",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN191140",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN191140",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN191140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

Verify at the official NPI Registry.