Lesleigh Gail Prewitt
Individual provider Active NPI Physician Assistant · Williamsburg, KY
NPI 1831950260 · NPPES record last updated Aug 20, 2024
Key facts
- NPI
- 1831950260
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 6100 (TN)
- Practice address
- 4490 Redbird Rd
Williamsburg, KY 40769-6100 - Phone
- (606) 304-2353
- NPI assigned
- Jan 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southeastern Physician Services PC
Practice addresses (Care Compare)
1201 Bishop St
Union City, TN 38261-5403
Phone (731) 885-2410
300 Med Tech Pkwy
Johnson City, TN 37604-2277
Phone (423) 302-1000
Hospital & facility affiliations
- Johnson City Medical Center
- Franklin Woods Community Hospital
- Sycamore Shoals Hospital
- Johnson County Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241019000145 | TN | Practitioner - Physician Assistant | 5890227508 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6100 | TN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upperline Healthcare, PC | Current |
Accepting new patients | |
| Upperline Healthcare, PC | Current |
Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients |
Locations
7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038
3430 E Andrew Johnson Hwy
Ste 1
Greeneville, TN 37745
Phone (423) 820-0033
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 6100 | TN | Yes |
Addresses
Primary practice location
4490 Redbird Rd
Williamsburg, KY 40769-6100
Mailing address
4490 Redbird Rd
Williamsburg, KY 40769-6100
Phone (606) 304-2353
Other providers in Williamsburg, KY
- Kelsey Petrey
- Zachary Phillips
- Edward Jonathan Powers
- Roger Powers
- Preferred Healthcare Incorporated
- Allen Darrell Probus Jr.
- PT Pros, Inc.
- PT Solutions Holdings, LLC
- Jake E Purkins
- Dillon Chandler Reed
All providers in Williamsburg, KY · Physician Assistant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.