Active NPI
Olive Nkouaye Leke, PA-C
- Physician Assistant
- Fayetteville, NC
National Provider Identifier
1972188035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-11116
- 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.
-
- Obstetrics & Gynecology Physician
- Fayetteville, NC
- NPI 1871676296
NC
-
- Nurse Practitioner
- Fayetteville, NC
- NPI 1538491642
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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Brighter Future Medical | Past | Accepting new patients |
Interoperability endpoints
- olive.leke.1@18808.direct.athenahealth.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-11116 | NC | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.