Individual provider Active NPI

Olive Nkouaye Leke, PA-C

  • Physician Assistant
  • Fayetteville, NC
National Provider Identifier
1972188035
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-11116 Issued in NC
Practice address
1261 Oliver Street
Fayetteville, NC 28304-4450
Phone
(910) 323-1626
Fax
(910) 323-9056
NPI assigned
Mar 10, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jones Center for Womens Health PLLC 3 clinicians

Practice addresses (Care Compare)

1261 Oliver St
Fayetteville, NC 28304-4450
Phone (910) 323-1626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20210408001407 NC Practitioner - Physician Assistant 9537576624 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
A Brighter Future Medical PastSince Sep 15, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: olive.leke.1@18808.direct.athenahealth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-11116 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

1261 Oliver Street
Fayetteville, NC 28304-4450

Mailing address

1261 Oliver Street
Fayetteville, NC 28304-4450
Phone (910) 323-1626

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 11, 2025.

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1972188035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 OLIVER STREET",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044450",
            "telephone_number": "910-323-1626",
            "fax_number": "910-323-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 OLIVER STREET",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044450",
            "telephone_number": "910-323-1626",
            "fax_number": "910-323-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEKE",
        "first_name": "OLIVE",
        "middle_name": "NKOUAYE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-10",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-11116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.