LIBBY LI
NPI 1073379848
Student in an Organized Health Care Education/Training Program in Augusta, GA

Active since February 28, 2024PECOS Enrolled
1120 15TH ST # BA8412, AUGUSTA, GA 30912(706) 721-8623 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Libby Li NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIBBY LI (NPI 1073379848) is an individual student in an organized health care education/training program in Augusta, Georgia, licensed in (15954) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073379848
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLIBBY LI
Location Address1120 15TH ST # BA8412Augusta, GA 30912-0004
Mailing Address103 Rosamond DrPhiladelphia, MS 39350-9275 · (601) 416-8275
Sole ProprietorNo
Enumeration DateFebruary 28, 2024
Last NPPES UpdateMay 21, 2024
NPPES CertifiedMay 21, 2024
NPI 1073379848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed · 15954
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1120 15TH ST # BA8412, Augusta, GA 30912

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Libby Li is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
1120 15TH ST # BA8412
AUGUSTA, GA 30912
Emergency Medicine
1120 15TH ST # BA8412
AUGUSTA, GA 30912
Anesthesiology
1120 15TH ST # BA8412
AUGUSTA, GA 30912
Surgery
1120 15TH ST # BA8412
AUGUSTA, GA 30912
Audiologist
1120 15TH ST # BA8412
AUGUSTA, GA 30912
Anesthesiology
1120 15TH ST # BA8412
AUGUSTA, GA 30912
Student in an Organized Health Care Education/Training Program
1120 15TH ST # BA8412
AUGUSTA, GA 30912
Speech-Language Pathologist
1120 15TH ST # BA8412
AUGUSTA, GA 30912

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Libby Li's NPI number?

The NPI number for Libby Li is 1073379848. It was assigned to this individual provider in the NPPES registry on February 28, 2024.

Where is Libby Li located?

Libby Li practices at 1120 15th St # Ba8412, Augusta, GA 30912. The listed phone number is (706) 721-8623.

What is Libby Li's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Libby Li enrolled in Medicare?

Yes. Libby Li is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Libby Li was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.