Individual provider Active NPI

Leslie Scott, NP

  • Family Nurse Practitioner
  • Bremen, GA
National Provider Identifier
1992398465
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN202046 Issued in GA
Practice address
200 Allen Memorial Dr
Bremen, GA 30110-2012
Phone
(770) 824-2000
NPI assigned
Feb 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN202046 GA Primary

Addresses

Primary practice location

200 Allen Memorial Dr
Bremen, GA 30110-2012

Mailing address

251 Pleasure Point Rd Unit 3
Wedowee, AL 36278-4288
Phone (256) 610-4605

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Bremen

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210301001851 GA Practitioner - Nurse Practitioner 2961818885 Reassigns benefits to 2 organizations
I20231107003568 AL Practitioner - Nurse Practitioner 2961818885

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 Allen Memorial Dr
Bremen, GA 30110-2012
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Em-I Medical Services, LLC CurrentSince Feb 18, 2021 Accepting new patients
Georgia Em-I Medical Services. LLC CurrentSince Feb 18, 2021 Accepting new patients
Carrollton Emergency Physicians, PC CurrentSince Mar 30, 2024 Accepting new patients
Alabama Anesthesiology and Pain Consultants P.C. CurrentSince Dec 1, 2024 Accepting new patients
Medical Pain Management,PC PastSince Sep 17, 2023 Accepting new patients

Locations

2804 Hospital Dr
Pell City, AL 35125
Phone (205) 338-6655

3804 Rainbow Dr
Rainbow City, AL 35906
Phone (205) 338-6655

200 Allen Memorial Dr
Bremen, GA 30110
Phone (770) 537-5851

705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666

601 Dallas Hwy
Villa Rica, GA 30180
Phone (770) 456-3000

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 2

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": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1992398465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 PLEASURE POINT RD UNIT 3",
            "city": "WEDOWEE",
            "state": "AL",
            "postal_code": "362784288",
            "telephone_number": "256-610-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ALLEN MEMORIAL DR",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "301102012",
            "telephone_number": "770-824-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "LESLIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN202046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Bremen",
            "affiliation": "N",
            "address_1": "200 Allen Memorial Dr",
            "city": "Bremen",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301102012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bremen, GA

Sources for this page

Verify at the official NPI Registry.