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LEILANI LOPES-HASLAM DO
NPI 1235842444
Student in an Organized Health Care Education/Training Program in Fort Eisenhower, GA

Active since January 03, 2023PECOS Enrolled
300 EAST HOSPITAL RD, FORT EISENHOWER, GA 30905(706) 787-5811 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2026, Jun 12, 2025, Jan 3, 2023 (3 updates tracked since 2023).

About Leilani Lopes-haslam Do NPPES

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

LEILANI LOPES-HASLAM DO (NPI 1235842444) is an individual student in an organized health care education/training program in Fort Eisenhower, Georgia and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1235842444
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLEILANI LOPES-HASLAMCredential: DO
Location Address300 EAST HOSPITAL RDFort Eisenhower, GA 30905-5741
Mailing Address300 East Hospital RdFort Eisenhower, GA 30905-0714 · (503) 828-2463
Phone(706) 787-5811
Sole ProprietorYes
Enumeration DateJanuary 3, 2023
Last NPPES UpdateApril 3, 20263 updates tracked since enumeration
NPPES CertifiedApril 3, 2026
✔ NPI 1235842444 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.
300 EAST HOSPITAL RD, Fort Eisenhower, GA 30905
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Secondary Practice Location 1

Location 13181 SW Sam Jackson Park RdPortland, OR 97239-3098 · Phone (503) 494-8211

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leilani Lopes-haslam Do 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 16

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

SCOTT THOMAS MCNEAR D.O.
Internal Medicine (Gastroenterology)
300 EAST HOSPITAL RD, DDEAMC: ATTN CREDENTIALS
FORT GORDON, GA 30905
Richmond County (706) 787-1968
DR. BRADFORD L RANKIN DPT
Physical Therapist
300 EAST HOSPITAL RD
FORT GORDON, GA 30905
Richmond County (706) 787-5373
EILEEN MARIE ZAYAS-BAEZ PT, DPT
Physical Therapist
300 EAST HOSPITAL RD
FT EISENHOWER, GA 30905
Richmond County (706) 787-5811
DR. VIRGINIA YATES M.D.
Psychiatry & Neurology (Psychiatry)
300 EAST HOSPITAL RD, CREDENTIALS COORDINATOR
FORT GORDON, GA 30905
Richmond County (706) 787-2776
MR. ERIC D WESSLING MPT
Physical Therapist
300 EAST HOSPITAL RD
FORT GORDON, GA 30905
Richmond County (706) 787-5373
MAURI BRITT PTA
Physical Therapy Assistant
300 EAST HOSPITAL RD
FT. GORDON, GA 30905
Richmond County (706) 787-5373
CALEB AULTMAN MD
Family Medicine
300 EAST HOSPITAL RD
FORT EISENHOWER, GA 30905
Richmond County (706) 787-9399
DR. DEANNA RENEE BEECH PH.D.
Psychologist (Clinical)
300 EAST HOSPITAL RD
FT GORDON, GA 30905
Richmond County (808) 681-9340

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 Leilani Lopes-haslam's NPI number?

The NPI number for Leilani Lopes-haslam is 1235842444. It was assigned to this individual provider in the NPPES registry on January 3, 2023.

Where is Leilani Lopes-haslam located?

Leilani Lopes-haslam practices at 300 East Hospital Rd, Fort Eisenhower, GA 30905. The listed phone number is (706) 787-5811.

What is Leilani Lopes-haslam's specialty?

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

Is Leilani Lopes-haslam enrolled in Medicare?

Yes. Leilani Lopes-haslam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Leilani Lopes-haslam was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.