Active NPI
Leah Malcom Ainslie, FNP-C
- Family Nurse Practitioner
- Madison, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN164840
- Practice address
- 2005 S Main St Ste 200
Madison, GA 30650-2055 - Phone
- (706) 752-1266
- Fax
- (706) 752-0286
- NPI assigned
- Jul 29, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN164840 | GA | Primary |
Addresses
Primary practice location
2005 S Main St Ste 200
Madison, GA 30650-2055
Mailing address
2005 S Main St Ste 200
Madison, GA 30650-2055
Phone (706) 752-1266
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150529000591 | GA | Practitioner - Nurse Practitioner | 8325368574 | Reassigns benefits to 10 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN164840 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarke County Department of Health | Current | Accepting new patients | |
| Jackson County Health Department | Current | Accepting new patients |
Locations
345 N Harris St
Athens, GA 30601
Phone (706) 389-6921
345 N Harris St
Ste 100
Athens, GA 30601
Phone (706) 425-2935
220 Research Dr
Athens, GA 30605
Phone (706) 583-2856
341 Stan Evans Dr
Jefferson, GA 30549
Phone (706) 367-5204
Organizations & group practices 10
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.
-
- State or Local Public Health Clinic/Center
- Athens, GA
- NPI 1861925323
GA
-
- State or Local Public Health Clinic/Center
- Jefferson, GA
- NPI 1942733407
GA
-
- State or Local Public Health Clinic/Center
- Monroe, GA
- NPI 1811420375
GA
-
- State or Local Public Health Clinic/Center
- Winder, GA
- NPI 1871026658
GA
-
- State or Local Public Health Clinic/Center
- Elberton, GA
- NPI 1215460779
GA
-
- State or Local Public Health Clinic/Center
- Greensboro, GA
- NPI 1124551684
GA
-
- State or Local Public Health Clinic/Center
- Danielsville, GA
- NPI 1114450673
GA
-
- State or Local Public Health Clinic/Center
- Madison, GA
- NPI 1487187944
GA
-
- State or Local Public Health Clinic/Center
- Watkinsville, GA
- NPI 1740713205
GA
-
- State or Local Public Health Clinic/Center
- Lexington, GA
- NPI 1659804110
GA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406592000000",
"number": "1891103206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2005 S MAIN ST STE 200",
"city": "MADISON",
"state": "GA",
"postal_code": "306502055",
"telephone_number": "706-752-1266",
"fax_number": "706-752-0286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 S MAIN ST STE 200",
"city": "MADISON",
"state": "GA",
"postal_code": "306502055",
"telephone_number": "706-752-1266",
"fax_number": "706-752-0286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AINSLIE",
"first_name": "LEAH",
"middle_name": "MALCOM",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-29",
"last_updated": "2014-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN164840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.