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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: July 26, 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
Open in Google Maps ↗

Other Names 1

Professional Name (2)Lesia Herron Rn

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, and ordering and referring status from the CMS PECOS system.

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.

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.

What insurance does Lesia Herron accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Lesia Herron as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

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