Individual provider Active NPI

Lesli G McQuigg, ANP-BC

  • Women's Health Nurse Practitioner
  • Brunswick, GA
National Provider Identifier
1851664445
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN130343 Issued in GA
Practice address
3025 Shrine Rd
Suite 190
Brunswick, GA 31520-4784
Phone
(912) 466-7250
Fax
(912) 466-7253
NPI assigned
Feb 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X RN130343 GA Primary
Registered Nurse 163W00000X RN130343 GA

Addresses

Primary practice location

3025 Shrine Rd
Suite 190
Brunswick, GA 31520-4784

Mailing address

3025 Shrine Rd
Suite 190
Brunswick, GA 31520-4784
Phone (912) 466-7250

Other identifiers 1

IdentifierTypeStateIssuer
RN130343OtherGALICENSE NUMBER

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
I20131126000574 GA Practitioner - Nurse Practitioner 8729214549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooperative Healthcare Services IncGroup PAC ID 9830093640, 235 clinicians

Practice addresses (Care Compare)

2415 Parkwood Dr
Brunswick, GA 31520-4722
Phone (912) 466-4079

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.36 of 100Reported as group
Quality
46.72
Promoting interoperability
99
Improvement activities
40
Cost
75.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN130343GAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Cooperative Healthcare Services Inc CurrentSince Oct 8, 2013 Accepting new patients

Locations

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

3025 Shrine Rd
Ste 190
Brunswick, GA 31520
Phone (912) 466-7250

2600 Wildwood Dr
Brunswick, GA 31520
Phone (912) 466-5200

Interoperability endpoints

  • Direct secure messaging: lmcquig@secure.sghsmessaging.org

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1851664445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 SHRINE RD",
            "address_2": "SUITE 190",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204784",
            "telephone_number": "912-466-7250",
            "fax_number": "912-466-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 SHRINE RD",
            "address_2": "SUITE 190",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204784",
            "telephone_number": "912-466-7250",
            "fax_number": "912-466-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUIGG",
        "first_name": "LESLI",
        "middle_name": "G",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-14",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "RN130343",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN130343",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "RN130343",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.