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LESIA HERRON
NPI 1184054900
Nurse Practitioner - Primary Care in Atlanta, GA

Active since November 14, 2013PECOS Enrolled
89.89/100
CMS Quality Rating
3408 NOBLE CREEK NWDR, ATLANTA, GA 30327(804) 651-0000(410) 569-7137 Get Directions Write a Review

NPPES record last updated: December 30, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lesia Herron NPPES

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

LESIA HERRON (NPI 1184054900) is an individual primary care provider in Atlanta, Georgia, licensed in Georgia (RN115103) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184054900
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameLESIA HERRON
Location Address3408 NOBLE CREEK NWDRAtlanta, GA 30327-5121
Mailing Address2020 Howell Mill Rd Nw, D-421Atlanta, GA 30318-1732 · (804) 651-0000
Phone(804) 651-0000
Fax(410) 569-7137
Sole ProprietorNo
Enumeration DateNovember 14, 2013
Last NPPES UpdateDecember 30, 2015
✔ NPI 1184054900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in GA · RN115103
Also ListedRegistered NurseTaxonomy 163W00000X · License RN1020457 (DC)
3408 NOBLE CREEK NWDR, Atlanta, GA 30327
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Other Names 1

Professional Name (2)Lesia Herron Rn

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lesia Herron 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 Reassignments

5

Medicare enrollment records show Lesia Herron reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

West End Medical Centers, The Family Health Center @ Bolton Village
3.0 mi
Federally Qualified Health Center (FQHC)
2011 BOLTON RD NW, SUITE 104
Atlanta, GA 30318
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: The Family Health Centers Of Georgia, Inc
  • 33 clinicians in this Medicare group
NPI 1225041247 (404) 752-1400
Gwinnett Emergency Specialists Observation Services, LLC
26 mi
Emergency Medicine
1000 MEDICAL CENTER BLVD
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
  • 134 clinicians in this Medicare group
NPI 1720373129 (954) 939-5000
Gwinnett Emergency Specialists, LLC
26 mi
Emergency Medicine
1000 MEDICAL CENTER BLVD
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
  • 138 clinicians in this Medicare group
NPI 1437346467 (954) 939-5000
Georgia Emergency Group, LLC
41 mi
Emergency Medicine
601 S 8TH ST
Griffin, GA 30224
  • Reassigned Medicare billing, Georgia enrollment
  • 208 clinicians in this Medicare group
NPI 1952746638 (770) 874-5400
Small Hospital Innovations LLC
529 mi
Emergency Medicine
524 W SAGAMORE AVE
Clewiston, FL 33440
  • Reassigned Medicare billing, Georgia enrollment
  • 65 clinicians in this Medicare group
NPI 1184040560 (305) 204-9318

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 30327 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.78
Promoting Interoperability100
Improvement Activities40

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 Lesia Herron's NPI number?

The NPI number for Lesia Herron is 1184054900. It was assigned to this individual provider in the NPPES registry on November 14, 2013. The provider is also known as Lesia Herron Rn.

Where is Lesia Herron located?

Lesia Herron practices at 3408 Noble Creek Nwdr, Atlanta, GA 30327. The listed phone number is (804) 651-0000.

What is Lesia Herron's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Lesia Herron enrolled in Medicare?

Yes. Lesia Herron is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lesia Herron's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lesia Herron reassigns Medicare benefits to 5 organizations: West End Medical Centers, The Family Health Center @ Bolton Village (Atlanta, GA), Gwinnett Emergency Specialists Observation Services, LLC (Lawrenceville, GA), Gwinnett Emergency Specialists, LLC (Lawrenceville, GA), Georgia Emergency Group, LLC (Griffin, GA) and Small Hospital Innovations LLC (Clewiston, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lesia Herron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lesia Herron was last updated on December 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.