Individual provider Active NPI

Leah Faith Hartpence, APRN

  • Primary Care Nurse Practitioner
  • Jonesboro, GA
National Provider Identifier
1740862762
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN103159 Issued in GA
Practice address
696 Mount Zion Rd Ste C4
Jonesboro, GA 30236-1583
Phone
(770) 968-1746
Fax
(770) 968-0727
NPI assigned
Apr 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN103159 GA Primary

Addresses

Primary practice location

696 Mount Zion Rd Ste C4
Jonesboro, GA 30236-1583

Mailing address

696 Mount Zion Rd Ste C4
Jonesboro, GA 30236-1583
Phone (770) 968-1746

Other practice location 1

500 Lanier Ave W Ste 101
Fayetteville, GA 30214-7640
Phone (770) 461-1009

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
I20230817001255 GA Practitioner - Nurse Practitioner 0840652269 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Crescent Medical Clinic IncGroup PAC ID 7214824655, 5 clinicians

Practice addresses (Care Compare)

696 Mount Zion Rd
Suite C4
Jonesboro, GA 30236-1583
Phone (770) 968-1746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NCO-000001GAMDFamily Nurse Practitioner
RN103159GAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Crescent Medical Clinic, Inc. CurrentSince Jul 4, 2023 Accepting new patients
Family and Physical Medicine of South Atlanta CurrentSince Apr 1, 2025 Accepting new patients

Locations

500 Lanier Ave W
Ste 101
Fayetteville, GA 30214
Phone (770) 461-1009

696 Mount Zion Rd
Ste C4
Jonesboro, GA 30236
Phone (770) 968-1746

1635 Highway 34 E
Ste D
Newnan, GA 30265
Phone (470) 210-8050

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": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1740862762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 MOUNT ZION RD STE C4",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361583",
            "telephone_number": "770-968-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 MOUNT ZION RD STE C4",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361583",
            "telephone_number": "770-968-1746",
            "fax_number": "770-968-0727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Lanier Ave W Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302147640",
            "country_code": "US",
            "telephone_number": "770-461-1009",
            "fax_number": "770-461-1002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTPENCE",
        "first_name": "LEAH",
        "middle_name": "FAITH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-28",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN103159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, GA

Sources for this page

Verify at the official NPI Registry.