Individual provider Active NPI

Lkeshia Cherie Endsley, FNP-C

  • Family Nurse Practitioner
  • Conyers, GA
National Provider Identifier
1760054795
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP231725 Issued in GA
Practice address
3373 Bartlett Ave
Conyers, GA 30013-7506
Phone
(770) 940-3084
NPI assigned
Jul 9, 2021
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP231725 GA Primary
Case Management Registered Nurse 163WC0400X RN231725 GA

Addresses

Primary practice location

3373 Bartlett Ave
Conyers, GA 30013-7506

Mailing address

3373 Bartlett Ave
Conyers, GA 30013-7506
Phone (706) 474-5285

Other practice location 1

2920 Pharr Court South NW
Atlanta, GA 30305-2104
Phone (404) 261-9043

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
I20250717003827 GA Practitioner - Nurse Practitioner 5799291720 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Georgia Mso LLCGroup PAC ID 3173041639, 29 clinicians

Practice addresses (Care Compare)

1640 Powers Ferry Rd SE
BLDG 15
Marietta, GA 30067-5491
Phone (212) 734-6621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN231725GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Mso LLC CurrentSince May 12, 2025 Accepting new patients
Hardy Renew Wellness,LLC CurrentSince May 12, 2025 Accepting new patients

Locations

1640 Powers Ferry Rd SE
Bldg 15
Marietta, GA 30067
Phone (770) 722-9595

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Decatur Center for Nursing and Healing LLCDecatur, GA, CCN 115246 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Feb 13, 2023
Feb 13, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, 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": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1760054795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3373 BARTLETT AVE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300137506",
            "telephone_number": "706-474-5285",
            "fax_number": "229-218-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3373 BARTLETT AVE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300137506",
            "telephone_number": "770-940-3084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2920 Pharr Court South NW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303052104",
            "country_code": "US",
            "telephone_number": "404-261-9043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENDSLEY",
        "first_name": "LKESHIA",
        "middle_name": "CHERIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-09",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP231725",
            "primary": true
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "GA",
            "license": "RN231725",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

Verify at the official NPI Registry.