Individual provider Active NPI

Leslie Weaver, NP

  • Nurse Practitioner
  • Ringgold, GA
National Provider Identifier
1861884512
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
113658 Issued in GA
Practice address
6553 Highway 41
Ringgold, GA 30736-2641
Phone
(706) 965-6000
Fax
(706) 965-8000
NPI assigned
Mar 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 113658 GA Primary

Addresses

Primary practice location

6553 Highway 41
Ringgold, GA 30736-2641

Mailing address

6553 Highway 41
Ringgold, GA 30736-2641
Phone (706) 965-6000

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
I20150428000071 GA Practitioner - Nurse Practitioner 9830282193 Reassigns benefits to 4 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
Landw Medical Services LLCGroup PAC ID 4385165927, 5 clinicians

Practice addresses (Care Compare)

6553 Hwy 41
Ringgold, GA 30736-2641
Phone (706) 965-6000

Hospital & facility affiliations

  • Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
113658GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
National Family Medical Associates, LLC CurrentSince Sep 1, 2023 Accepting new patients
National Family Medical Associates of Georgia, LLC CurrentSince Nov 1, 2023 Accepting new patients
Weaver Health Services, LLC CurrentSince Mar 1, 2016 Accepting new patients
L&W Medical Services LLC CurrentSince Feb 24, 2025 Accepting new patients

Locations

601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439

3500 Lenox Rd NE
Ste 1500
Atlanta, GA 30326
Phone (404) 720-8220

3257 Chattanooga Valley Rd
Flintstone, GA 30725
Phone (706) 841-7700

5610 Wendy Bagwell Pkwy
Hiram, GA 30141
Phone (770) 943-7808

7566 Nashville St
Ringgold, GA 30736
Phone (706) 935-3600

6553 Highway 41
Ringgold, GA 30736
Phone (706) 937-2777

Organizations & group practices 4

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": "1425427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1861884512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6553 HIGHWAY 41",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307362641",
            "telephone_number": "706-965-6000",
            "fax_number": "706-965-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6553 HIGHWAY 41",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307362641",
            "telephone_number": "706-965-6000",
            "fax_number": "706-965-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "LESLIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-04",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "113658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ringgold, GA

Sources for this page

Verify at the official NPI Registry.