NPIMap

Individual provider Active NPI

Leslie Ann Cottrell, MD

  • Family Medicine Physician
  • Carrollton, GA
National Provider Identifier
1932214160
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
045194 Issued in GA
Practice address
1601 Maple St
University of West Georgia
Carrollton, GA 30118-0001
Phone
(678) 839-6452
NPI assigned
Aug 20, 2006
Last updated
Aug 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 045194 GA Primary

Addresses

Primary practice location

1601 Maple St
University of West Georgia
Carrollton, GA 30118-0001

Mailing address

University of West Georgia 1601 Maple St
Carrollton, GA 30118-0001
Phone (678) 839-6452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110606000690 GA Practitioner - Family Practice 5193902880 Reassigns benefits to 2 organizations
Practice locations: Whitesburg, GA
I20231113003522 NC Practitioner - Family Practice 5193902880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atrium Health North Market Network LLCGroup PAC ID 1557743440, 158 clinicians

Practice addresses (Care Compare)

409 Olin Way
Suite 1200
Denver, NC 28037-9250
Phone (704) 801-7320

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
045194GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Immediate Care, Inc CurrentSince May 4, 2014 Accepting new patients
Tanner Medical Group Inc Family Medicine CurrentSince Mar 23, 2020 Accepting new patients
Atrium Health North Market Network LLC Family Medicine CurrentSince Oct 1, 2023 Accepting new patients
Carolinas Physicians Network Inc PastSince Oct 1, 2023 Accepting new patients
Bowdon- Mt. Zion Primary Health Center ,Inc. Past Accepting new patients

Locations

100 Tanner Dr
Bremen, GA 30110
Phone (770) 836-9445

119 Ambulance Dr
Ste 202
Carrollton, GA 30117
Phone (770) 838-8710

1480 S Highway 27
Carrollton, GA 30117
Phone (770) 812-9445

101 Quartz Dr
Ste 101
Villa Rica, GA 30180
Phone (770) 836-9445

690 Dallas Hwy
Ste 207A
Villa Rica, GA 30180
Phone (770) 456-3646

4525 Cameron Valley Pkwy
Ste 4100D
Charlotte, NC 28211
Phone (704) 801-7310

409 Olin Way
Ste 1200
Denver, NC 28037
Phone (704) 801-7320

Interoperability endpoints

  • Direct secure messaging: lcottrell2707838@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 5

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 7

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1932214160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF WEST GEORGIA 1601 MAPLE ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301180001",
            "telephone_number": "678-839-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MAPLE ST",
            "address_2": "UNIVERSITY OF WEST GEORGIA",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301180001",
            "telephone_number": "678-839-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTRELL",
        "first_name": "LESLIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "045194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

Verify at the official NPI Registry.