Active NPI
Marie Josette Leblanc-Riley, NP-C
- Family Nurse Practitioner
- Athens, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN223293
- Practice address
- 1199 Prince Ave
Athens, GA 30606-2797 - Phone
- (706) 475-5075
- NPI assigned
- Mar 7, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN223293 | GA | Primary |
Addresses
Primary practice location
1199 Prince Ave
Athens, GA 30606-2797
Mailing address
6000 Lake Forrest Drive
Suite 500
Atlanta, GA 30328
Phone (404) 856-6110
Other practice location 1
1100 Sherwood Park Dr NE
Gainesville, GA 30501-3424
Phone (770) 533-4445
Other practice location 2
6000 Lake Forrest Dr
Suite 500
Atlanta, GA 30328-3824
Phone (404) 856-6110
Other practice location 3
855 Gaines School Rd
Athens, GA 30605-3209
Phone (706) 549-5773
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1070 Old Salem Rd
Greensboro, GA 30642-6476
Phone (708) 713-1904
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN223293 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Athens Hospitalist Physicians LLC | Current | Accepting new patients | |
| Legacy Physician Consultants, LLC | Current | Accepting new patients | |
| Piedmont Hospitalist Physicians LLC | Current | Accepting new patients | |
| Evirtualcare, LLC | Past | Accepting new patients | |
| STG Healthcare of Atlanta, Inc | Past | Accepting new patients | |
| Piedmont Athens Specialty Care LLC | Past | Accepting new patients |
Locations
490 Kathwood Dr
Athens, GA 30607
Phone (706) 355-7400
1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520
960 Hawthorne Ave
Athens, GA 30606
Phone (706) 502-0503
2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421
35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000
633 Falls Rd
Toccoa, GA 30577
Phone (706) 754-7485
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Baldwin, GA
- NPI 1508605668
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1578079000
-
- Family Medicine Physician
- Stockbridge, GA
- NPI 1548219660
-
- Internal Medicine Physician
- Athens, GA
- NPI 1073050647
-
- Cardiovascular Disease Physician
- Athens, GA
- NPI 1184130627
-
dba Interim Hospice
- Community Based Hospice Care Agency
- Atlanta, GA
- NPI 1992016877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550620800000",
"number": "1790145563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 LAKE FORREST DRIVE",
"address_2": "SUITE 500",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30328",
"telephone_number": "404-856-6110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1199 PRINCE AVE",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062797",
"telephone_number": "706-475-5075"
}
],
"practiceLocations": [
{
"address_1": "1100 Sherwood Park Dr NE",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "GA",
"postal_code": "305013424",
"country_code": "US",
"telephone_number": "770-533-4445",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6000 Lake Forrest Dr",
"address_2": "Suite 500",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303283824",
"country_code": "US",
"telephone_number": "404-856-6110",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "855 Gaines School Rd",
"address_purpose": "LOCATION",
"city": "Athens",
"state": "GA",
"postal_code": "306053209",
"country_code": "US",
"telephone_number": "706-549-5773",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEBLANC-RILEY",
"first_name": "MARIE",
"middle_name": "JOSETTE",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-07",
"last_updated": "2019-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN223293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.