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DR. LEAH LORD HELTON MD
NPI 1255518890
Pediatrics in Dublin, GA

Active since January 25, 2008PECOS Enrolled
104 FAIRVIEW PARK DR, DUBLIN, GA 31021(478) 304-1414 Get Directions Write a Review

NPPES record last updated: August 14, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Leah Lord Helton Md NPPES

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

DR. LEAH LORD HELTON MD (NPI 1255518890) is an individual pediatrics provider in Dublin, Georgia, licensed in Georgia (001824) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255518890
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. LEAH LORD HELTONCredential: MD
Location Address104 FAIRVIEW PARK DRDublin, GA 31021
Mailing Address102 Bowling LnDublin, GA 31021-2502 · (478) 272-0203 · Fax (478) 272-0223
Phone(478) 304-1414
Sole ProprietorNo
Enumeration DateJanuary 25, 2008
Last NPPES UpdateAugust 14, 2018
✔ NPI 1255518890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 001824
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
104 FAIRVIEW PARK DR, Dublin, GA 31021
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Other Identifiers 2

Medicaid282173524EGA
Medicaid282173524FGA

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)

Dr. Leah Lord Helton 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.

Medicare Billing Reassignment

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

Cogent Healthcare Of Georgia PC
49 mi
Internal Medicine
400 CHARTER BLVD
Macon, GA 31210
  • Reassigned Medicare billing, Georgia enrollment
  • 635 clinicians in this Medicare group
NPI 1609827823 (478) 757-8200

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 31021 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 15

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

PRIDE R CHAPMAN MD
Internal Medicine
104 FAIRVIEW PARK DR
DUBLIN, GA 31021
Laurens County (478) 272-1366
DUBLIN INTERNAL MEDICINE
Internal Medicine
104 FAIRVIEW PARK DR
DUBLIN, GA 31021
Laurens County (478) 272-1366
DONALD R NELSON MD
Internal Medicine
104 FAIRVIEW PARK DR
DUBLIN, GA 31021
Laurens County (478) 272-1366
C MARTIN CHRISTIAN MD
Internal Medicine (Gastroenterology)
104 FAIRVIEW PARK DR
DUBLIN, GA 31021
Laurens County (478) 277-1255
DIM PHYSICIANS LLC
Internal Medicine
104 FAIRVIEW PARK DR
DUBLIN, GA 31021
Laurens County (478) 272-1366
VASAVI A KAVURI MD
Internal Medicine
104 FAIRVIEW PARK DR
DUBLIN, GA 31021
Laurens County (478) 272-1366
DUBLIN GASTROENTEROLOGY ASSOC, LLC
Internal Medicine (Gastroenterology)
104 FAIRVIEW PARK DR
DUBLIN, GA 31021
Laurens County (478) 277-1255
GASTROENTEROLOGY ASSOCIATES OF DUBLIN LLC
Internal Medicine (Gastroenterology)
104 FAIRVIEW PARK DR
DUBLIN, GA 31021
Laurens County (478) 277-1255

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 Leah Helton's NPI number?

The NPI number for Leah Helton is 1255518890. It was assigned to this individual provider in the NPPES registry on January 25, 2008.

Where is Leah Helton located?

Leah Helton practices at 104 Fairview Park Dr, Dublin, GA 31021. The listed phone number is (478) 304-1414.

What is Leah Helton's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Leah Helton enrolled in Medicare?

Yes. Leah Helton is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Leah Helton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leah Helton reassigns Medicare benefits to Cogent Healthcare Of Georgia PC (Macon, GA). The 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 Leah Helton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Leah Helton accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Leah Helton 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 Leah Helton was last updated on August 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.