Individual provider Active NPI

Leah Benton Marks, APRN,BC,FNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Savannah, GA
National Provider Identifier
1740387893
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
RN084830 Issued in GA
Practice address
5356 Reynolds St
Suite 410
Savannah, GA 31405-6016
Phone
(912) 355-8136
Fax
(912) 352-7014
NPI assigned
Sep 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X RN084830 GA Primary

Addresses

Primary practice location

5356 Reynolds St
Suite 410
Savannah, GA 31405-6016

Mailing address

2456 Hodgeville Rd
Rincon, GA 31326-4808
Phone (912) 728-7884

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
I20061108000357 GA Practitioner - Nurse Practitioner 3072510197 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN084830GAMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Savannah OBGYN PC CurrentSince Jun 30, 2025 Accepting new patients

Locations

5356 Reynolds St
Ste 410
Savannah, GA 31405
Phone (912) 355-8136

Organizations & group practices 1

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740387893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2456 HODGEVILLE RD",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313264808",
            "telephone_number": "912-728-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5356 REYNOLDS ST",
            "address_2": "SUITE 410",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056016",
            "telephone_number": "912-355-8136",
            "fax_number": "912-352-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "LEAH",
        "middle_name": "BENTON",
        "name_prefix": "Mrs.",
        "credential": "APRN,BC,FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "GA",
            "license": "RN084830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.