Individual provider Active NPI

Claire Ledford, PA-C

  • Physician Assistant
  • Gainesville, GA
National Provider Identifier
1861905655
Registry record updated Nov 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7660 Issued in GA
Practice address
535 Jesse Jewell Pkwy SE Ste C
Gainesville, GA 30501-3772
Phone
(770) 534-9014
Fax
(770) 534-9012
NPI assigned
Nov 15, 2017
Last updated
Nov 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 7660 GA Primary

Addresses

Primary practice location

535 Jesse Jewell Pkwy SE Ste C
Gainesville, GA 30501-3772

Mailing address

535 Jesse Jewell Pkwy SE Ste C
Gainesville, GA 30501-3772
Phone (770) 534-9014

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
I20180105000748 GA Practitioner - Physician Assistant 4183983729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gainesville Heart and Vascular Group PCGroup PAC ID 6507040409, 5 clinicians

Practice addresses (Care Compare)

535 Jesse Jewell Pkwy SE
Suite C
Gainesville, GA 30501-3772
Phone 77053490145645

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
7660GAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: claire.ledford.1@7421.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1861905655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 JESSE JEWELL PKWY SE STE C",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013772",
            "telephone_number": "770-534-9014",
            "fax_number": "770-534-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 JESSE JEWELL PKWY SE STE C",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013772",
            "telephone_number": "770-534-9014",
            "fax_number": "770-534-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDFORD",
        "first_name": "CLAIRE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-15",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "7660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.