Individual provider Active NPI

Ashley Grace Lesley, M.D

  • Glaucoma Specialist (Ophthalmology) Physician
  • Greenville, SC
National Provider Identifier
1790761039
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
License
51973 Issued in SC
Practice address
5 Stevens St Ste 100
Greenville, SC 29605-4528
Phone
(864) 250-6487
Fax
(864) 250-6475
NPI assigned
Dec 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A102813 CA
Ophthalmology Physician 207W00000X D0073579 MD
Aerospace Medicine Physician 2083A0100X 01058160A IN
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X 51973 SC Primary

Addresses

Primary practice location

5 Stevens St Ste 100
Greenville, SC 29605-4528

Mailing address

601 Halton Rd
Greenville, SC 29607-3403
Phone (864) 458-7956

Other practice location 1

601 Halton Rd
Greenville, SC 29607-3403
Phone (864) 458-7956

Other identifiers 1

IdentifierTypeStateIssuer
519737MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180411002067 SC Practitioner - Ophthalmology 8729273883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Baylor College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jervey Eye Group PAGroup PAC ID 2860397148, 20 clinicians

Practice addresses (Care Compare)

601 Halton Rd
Greenville, SC 29607-3403
Phone (864) 458-7956

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery50

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
102813CAMDPeriodontist
A102813CAMDOphthalmology Physician
01058160AINMDAerospace Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jervey Eye Group, PA Ophthalmology CurrentSince Jan 26, 2020 Accepting new patients
Jervey Eye Group, PA Ophthalmology Current Accepting new patients
Jervey Eye Center,LLC PastSince Jan 1, 2021 Accepting new patients

Locations

220 S Pendleton St
Easley, SC 29640
Phone (864) 250-6484

601 Halton Rd
Greenville, SC 29607
Phone (864) 458-7956

5 Stevens St
Ste 100
Greenville, SC 29605
Phone (864) 250-6487

1 Doctors Dr
Greenville, SC 29605
Phone (864) 271-3354

5 Stevens St
#100
Greenville, SC 29605

1 Colony Centre Way
Simpsonville, SC 29681
Phone (864) 458-3900

Organizations & group practices 3

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": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1790761039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 HALTON RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073403",
            "telephone_number": "864-458-7956",
            "fax_number": "864-458-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 STEVENS ST STE 100",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054528",
            "telephone_number": "864-250-6487",
            "fax_number": "864-250-6475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Halton Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296073403",
            "country_code": "US",
            "telephone_number": "864-458-7956",
            "fax_number": "864-458-8390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LESLEY",
        "first_name": "ASHLEY",
        "middle_name": "GRACE",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A102813",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0073579",
            "primary": false
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "IN",
            "license": "01058160A",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "SC",
            "license": "51973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "519737",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.