JACE ANDREW LESLIE MD
NPI 1174383046
Student in an Organized Health Care Education/Training Program in Memphis, TN

Q: What is Jace Leslie's NPI number?

The NPI number for Jace Leslie is 1174383046. It was assigned to this individual provider in the NPPES registry on March 19, 2024.

Q: What is Jace Leslie's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jace Leslie was last updated on March 19, 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.

Active since March 19, 2024PECOS Enrolled

920 MADISON AVE STE 447, MEMPHIS, TN 38103(615) 396-6449 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jace Andrew Leslie Md NPPES

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

JACE ANDREW LESLIE MD (NPI 1174383046) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174383046

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJACE ANDREW LESLIECredential: MD

Location Address920 MADISON AVE STE 447Memphis, TN 38103-3438

Mailing Address1840 Medical Center Pkwy Ste 403Murfreesboro, TN 37129-3237 · (615) 396-6449

Phone(615) 396-6449

Sole ProprietorYes

Enumeration DateMarch 19, 2024

NPPES CertifiedMarch 19, 2024

✔ NPI 1174383046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

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.

920 MADISON AVE STE 447, Memphis, TN 38103

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jace Andrew Leslie Md 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.

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Other Providers at the Same Location NPPES 20

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

DR. DAVID EDWARD ZIMMERHANZEL MD

Student in an Organized Health Care Education/Training Program