Individual provider Active NPI

Abigail T Leddy, NP

  • Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1972820272
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN173874 Issued in GA
Practice address
3405 Dallas Hwy SW Ste 200
Marietta, GA 30064-6426
Phone
(678) 802-8665
Fax
(678) 540-4250
NPI assigned
Apr 26, 2010
Last updated
Sep 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN173874 GA Primary

Addresses

Primary practice location

3405 Dallas Hwy SW Ste 200
Marietta, GA 30064-6426

Mailing address

3405 Dallas Hwy SW Ste 200
Marietta, GA 30064-6426
Phone (678) 802-8665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2026 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN173874GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bamp Clinics Georgia, LLC CurrentSince Sep 21, 2025 Accepting new patients

Locations

3405 Dallas Hwy SW
Ste 200
Marietta, GA 30064
Phone (678) 802-8665

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1972820272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 DALLAS HWY SW STE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300646426",
            "telephone_number": "678-802-8665",
            "fax_number": "678-540-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 DALLAS HWY SW STE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300646426",
            "telephone_number": "678-802-8665",
            "fax_number": "678-540-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDDY",
        "first_name": "ABIGAIL",
        "middle_name": "T",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-26",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN173874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.