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LEIGHTON ROLSTON JAMES MD
NPI 1346202173
Internal Medicine - Nephrology in Augusta, GA

Active since April 05, 2006PECOS EnrolledAccepts Medicare Assignment
1120 15TH ST, AUGUSTA, GA 30912(706) 721-8623(706) 721-1459 Get Directions Write a Review

NPPES record last updated: July 10, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Leighton Rolston James Md NPPES

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

LEIGHTON ROLSTON JAMES MD (NPI 1346202173) is an individual nephrology provider in Augusta, Georgia, licensed in Georgia (049906) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Au Medical Center, and is a graduate of University Of Toronto, Faculty Of Medicine (1994).

NPPES Registry Identity

NPI1346202173
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameLEIGHTON ROLSTON JAMESCredential: MD
Location Address1120 15TH STAugusta, GA 30912-6511
Mailing Address1120 15th St Ste Bi1056Augusta, GA 30912-0004 · (706) 446-5941
Phone(706) 721-8623
Fax(706) 721-1459
Sole ProprietorNo
Medical School CMSUniversity Of Toronto, Faculty Of MedicineGraduated 1994
Enumeration DateApril 5, 2006
Last NPPES UpdateJuly 10, 2018
✔ NPI 1346202173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in GA · 049906✔ Licensed in FL · MFC1660✔ Licensed in TX · 40469
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1120 15TH ST, Augusta, GA 30912
Open in Google Maps ↗

Other Identifiers 2

OtherP00867786Railroad Medicare
Medicaid165654801TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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 and accepts Medicare assignment

Leighton Rolston James Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921088477
PECOS Enrollment IDI20180921003121, I20240423000632
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

3

Medicare enrollment records show Leighton James reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Au Medical Associates Inc
0.1 mi
Multi-Specialty
1120 15TH ST
Augusta, GA 30912
  • Reassigned Medicare billing, Georgia and South Carolina enrollments
  • 1,151 clinicians in this Medicare group
NPI 1841230620 (706) 721-2273
Wellstar Medical Group, LLC
140 mi
Family Medicine
11685 ALPHARETTA HWY, SUITE 300
Roswell, GA 30076
  • Reassigned Medicare billing, Georgia and South Carolina enrollments
  • Also billed through NPI 1275992240 (South Carolina)
  • 3,885 clinicians in this Medicare group
NPI 1922405729 (678) 325-6611
University Of Florida Jacksonville Physicians Inc
216 mi
Pulmonary Disease
655 W 8TH ST, UFJP PULMONARY
Jacksonville, FL 32209
  • Reassigned Medicare billing, Florida enrollment
  • 1,456 clinicians in this Medicare group
NPI 1104086479 (904) 244-3660

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
183 services74 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
147 services51 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
74 services38 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
47 services27 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
35 services27 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
28 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Au Medical Center

Acute Care Hospitals · Augusta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110034
Location1120 15th StreetAugusta, GA 30912 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30912 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
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 20

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

DR. TOYA HESTER KELLEY MD
Family Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-3157
DR. JACK BRADLEY ELLIS D.O.
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
SAMI MOHAMMED ALSHEHRY
Student in an Organized Health Care Education/Training Program
1120 15TH ST, 1065
AUGUSTA, GA 30912
Richmond County (706) 721-2411
LUIS ALBERTO VELASQUEZ ZARATE M.D
Pathology (Anatomic Pathology & Clinical Pathology)
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-2771
DR. BRYAN RICHARD BROACH M.D.
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
JANELLE MCGILL M.D.
Pediatrics
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
DR. KAYLA ASHLEY SHAHBAZIAN DO
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
ROSA MARIA LOPEZ RINCON
Anesthesiology
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 446-5836

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 Leighton James's NPI number?

The NPI number for Leighton James is 1346202173. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Leighton James located?

Leighton James practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (706) 721-8623.

What is Leighton James's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Leighton James enrolled in Medicare?

Yes. Leighton James is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Leighton James's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leighton James reassigns Medicare benefits to 3 organizations: Au Medical Associates Inc (Augusta, GA), Wellstar Medical Group, LLC (Roswell, GA) and University Of Florida Jacksonville Physicians Inc (Jacksonville, 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 Leighton James's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Leighton James accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Leighton James 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.

Is Leighton James affiliated with any hospitals?

According to CMS data, Leighton James is affiliated with Au Medical Center.

When was this NPI record last updated?

The NPPES record for Leighton James was last updated on July 10, 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.