Active NPI
Le Grand Health Alliance
- Family Nurse Practitioner
- Locust Grove, GA
National Provider Identifier
1760127393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- LE GRAND HEALTH ALLIANCE
- Practice address
- 700 Kaylors MDW
Locust Grove, GA 30248-3853 - Phone
- (864) 608-1716
- NPI assigned
- Apr 28, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hadassa Legrand, FNP
- Title
- Owner
- Phone
- (864) 608-1716
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
700 Kaylors MDW
Locust Grove, GA 30248-3853
Mailing address
700 Kaylors MDW
Locust Grove, GA 30248-3853
Phone (864) 608-1716
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 061732839 | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Hadassa@medicalrcm.us |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- hadassa@medicalrcm.us
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Albuquerque, NM
- NPI 1861868358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683676800000",
"number": "1760127393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 KAYLORS MDW",
"city": "LOCUST GROVE",
"state": "GA",
"postal_code": "302483853",
"telephone_number": "864-608-1716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 KAYLORS MDW",
"city": "LOCUST GROVE",
"state": "GA",
"postal_code": "302483853",
"telephone_number": "864-608-1716"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LE GRAND HEALTH ALLIANCE",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-28",
"last_updated": "2023-05-10",
"certification_date": "2023-04-26",
"status": "A",
"authorized_official_last_name": "LEGRAND",
"authorized_official_first_name": "HADASSA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "864-608-1716",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "061732839",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Hadassa@medicalrcm.us",
"affiliation": "N",
"address_1": "700 Kaylors Mdw",
"city": "Locust Grove",
"state": "GA",
"country_code": "US",
"postal_code": "302483853",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Locust Grove, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.