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LESLIE SHEPARD NP
NPI 1629658075
Nurse Practitioner - Family in Conyers, GA

Active since April 10, 2021PECOS Enrolled
85.02/100
CMS Quality Rating
1288 WELLBROOK CIR NE STE A, CONYERS, GA 30012(678) 369-6934 Get Directions Write a Review

NPPES record last updated: March 3, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 3, 2022, Apr 10, 2021 (2 updates tracked since 2021).

About Leslie Shepard Np NPPES

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

LESLIE SHEPARD NP (NPI 1629658075) is an individual family provider in Conyers, Georgia, licensed in Georgia (RN242664) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629658075
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLESLIE SHEPARDCredential: NP
Location Address1288 WELLBROOK CIR NE STE AConyers, GA 30012-8032
Mailing Address1288 Wellbrook Cir Ne Ste AConyers, GA 30012-8032 · (678) 369-6934
Phone(678) 369-6934
Sole ProprietorNo
Enumeration DateApril 10, 2021
Last NPPES UpdateMarch 3, 20222 updates tracked since enumeration
NPPES CertifiedMarch 3, 2022
✔ NPI 1629658075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN242664
1288 WELLBROOK CIR NE STE A, Conyers, GA 30012
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leslie Shepard Np 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 Leslie Shepard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Interventional Spine And Pain Management Center, PC
0.1 mi
Interventional Pain Medicine
1388 WELLBROOK CIR NE
Conyers, GA 30012
  • Reassigned Medicare billing, Georgia enrollment
  • 81 clinicians in this Medicare group
NPI 1023481918 (770) 929-9033

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 2

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.

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.
51 services33 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30012 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.

85.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.43
Promoting Interoperability100
Improvement Activities40
Cost60.65

Other Providers at the Same Location NPPES 5

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

MEETALI CROWE NP
Nurse Practitioner (Family)
1288 WELLBROOK CIR NE STE A
CONYERS, GA 30012
Rockdale County (678) 369-6934
DR. HARVINDER S. BHATTI M.D.
Orthopaedic Surgery
1288 WELLBROOK CIR NE STE A
CONYERS, GA 30012
Rockdale County (678) 369-6934
ATLANTA SPINE, PC
Orthopaedic Surgery
1288 WELLBROOK CIR NE STE A
CONYERS, GA 30012
Rockdale County (678) 369-6934
ATLANTA SPINE, PC
Durable Medical Equipment & Medical Supplies
1288 WELLBROOK CIR NE STE A
CONYERS, GA 30012
Rockdale County (678) 369-6934
MORGAN MITCHELL NP
Nurse Practitioner (Family)
1288 WELLBROOK CIR NE STE A
CONYERS, GA 30012
Rockdale County (678) 369-6934

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 Leslie Shepard's NPI number?

The NPI number for Leslie Shepard is 1629658075. It was assigned to this individual provider in the NPPES registry on April 10, 2021.

Where is Leslie Shepard located?

Leslie Shepard practices at 1288 Wellbrook Cir NE Ste A, Conyers, GA 30012. The listed phone number is (678) 369-6934.

What is Leslie Shepard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Leslie Shepard enrolled in Medicare?

Yes. Leslie Shepard is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Leslie Shepard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leslie Shepard reassigns Medicare benefits to Interventional Spine And Pain Management Center, PC (Conyers, 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 Leslie Shepard'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 Leslie Shepard was last updated on March 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.