Leslie Patrick

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

PHCP011778 Issued in GA

Practice address

2808 Lost Lakes Way
Powder Springs, GA 30127-6031

Phone

(210) 639-8191

NPI assigned

Dec 26, 2022

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Restorative Custom Healthcare Services Inc

  • Nursing Care Agency
  • Powder Springs, GA
  • NPI 1790490977

  Nursing Care

  NPD Authorized official

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

{
    "created_epoch": "1672012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672012800000",
    "number": "1760195515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 LOST LAKES WAY",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301276031",
            "telephone_number": "210-639-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 LOST LAKES WAY",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301276031",
            "telephone_number": "210-639-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "LESLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-26",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "GA",
            "license": "PHCP011778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dwayne Parker
• Mignon N Parker, LCSW
• Ricky Patel, DMD
• Sanket Patel
• Sheena Patel
• Lori Payton, RN, BSN, IBCLC
• Peach State Mobility LLC
• Ashley Pearce, ATC, LAT
• Jeffrey Gordon Peeples, LPC
• Emilie Perry

• All providers in Powder Springs, GA
• Nursing Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.