MR. LEO POULIOT FNP-C
NPI 1073979753
Nurse Practitioner - Family in Americus, GA

Q: What is Leo Pouliot's NPI number?

The NPI number for Leo Pouliot is 1073979753. It was assigned to this individual provider in the NPPES registry on January 11, 2016.

Q: What is Leo Pouliot's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Leo Pouliot was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since January 11, 2016PECOS Enrolled

618 E LAMAR ST, AMERICUS, GA 31709(229) 928-8355(229) 928-8358 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 30, 2016, Jan 11, 2016 (2 updates tracked since 2016).

On this page

About Mr. Leo Pouliot Fnp-c NPPES

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

MR. LEO POULIOT FNP-C (NPI 1073979753) is an individual family provider in Americus, Georgia, licensed in Georgia (APRN-NP226487) and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073979753

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. LEO POULIOTCredential: FNP-C

Location Address618 E LAMAR STAmericus, GA 31709-3738

Mailing Address618 E Lamar StAmericus, GA 31709-3738 · (229) 928-8355 · Fax (229) 928-8358

Phone(229) 928-8355

Fax(229) 928-8358

Sole ProprietorNo

Enumeration DateJanuary 11, 2016

Last NPPES UpdateOctober 15, 20252 updates tracked since enumeration

NPPES CertifiedOctober 15, 2025

✔ NPI 1073979753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · APRN-NP226487

618 E LAMAR ST, Americus, GA 31709

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Leo Pouliot Fnp-c 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.

Medicare Billing Reassignment

Medicare enrollment records show Leo Pouliot reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Careconnect Health, Inc.

26 mi

Federally Qualified Health Center (FQHC)

510 ALSTON ST STE B
Richland, GA 31825

Reassigned Medicare billing, Georgia enrollment
219 clinicians in this Medicare group

NPI 1063436624 (229) 887-3324

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31709 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

CARECONNECT HEALTH, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))