Lesley Shawan Cole

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

RN230930 Issued in GA

Practice address

2022 Fairburn Rd Ste D
Douglasville, GA 30135-1062

Phone

(770) 942-1044

NPI assigned

May 4, 2022

Last updated

Jul 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

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.

• Total Care Family Medicine PC

  • Family Medicine Physician
  • Douglasville, GA
  • NPI 1194046771
  NPD

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1750026522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 STONE OAK DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351903",
            "telephone_number": "678-499-9834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 FAIRBURN RD STE D",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351062",
            "telephone_number": "770-942-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "LESLEY",
        "middle_name": "SHAWAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN230930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Cochran, RBT
• Andre S Cohen, MD
• Kennedy Coker, RBT
• Christy Dawn Colagross, PT
• Dwana Tremayne Cole, M. ED., CCC-SLP
• Tinora Coley
• Jessica E Collins, LPC, RBT
• Tanisha Collins, LMT
• Shannon Leigh Colvin Bentley, RNC CNM
• Comfort Mobile Labs LLC

• Primary Care Nurse Practitioner in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Primary Care Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.