Individual provider Active NPI

Marie Josette Leblanc-Riley, NP-C

  • Family Nurse Practitioner
  • Athens, GA
National Provider Identifier
1790145563
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN223293 Issued in GA
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

Updated by the provider on Feb 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190311001827 GA Practitioner - Nurse Practitioner 5698014512 Reassigns benefits to 3 organizations

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
Legacy Physician Consultants, LLCGroup PAC ID 7911431457, 5 clinicians

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

LicenseStateTypeSpecialty
RN223293GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Athens Hospitalist Physicians LLC CurrentSince Feb 18, 2019 Accepting new patients
Legacy Physician Consultants, LLC CurrentSince Oct 1, 2024 Accepting new patients
Piedmont Hospitalist Physicians LLC CurrentSince Jan 1, 2025 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.

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

Verify at the official NPI Registry.