MR. QUINCY ADAM LEACH (AGACNP) – Acute Care Nurse Practitioner, NPI 1104301233

MR. QUINCY ADAM LEACH (AGACNP) is a healthcare provider. based in Sylacauga, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP. They hold a License No. 1-076889 (AL). The NPI Number for MR. QUINCY ADAM LEACH (AGACNP) is 1104301233

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
MR. QUINCY ADAM LEACH (AGACNP)
NPI
1104301233
Phone
(256) 401-4000
Address
315 W Hickory St
Enumeration Date
25 September 2018
Last Update Date
26 September 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2564014467
Graduation Year
2018 (8 years ago)
PAC ID
4486988045
Group Practice PAC ID
5294710398
Professional Enrollment ID
I20190702000539
Address ID
AL351502913SY315XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for MR. QUINCY ADAM LEACH (AGACNP)

  • 315 W Hickory St

    Sylacauga, AL 351502913

    Phone: (256) 401-4000

    Type: Location

  • 126, South Anniston Avenue, Sylacauga, Talladega County, Alabama, 35150, United States

    SYLACAUGA, AL 351502904

    Phone: (256) 872-7777

    Fax: (256) 249-0863

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $121.

Total Amount is formed as General ($121) + Research ($0) + Ownership ($0) = $121.

Last reported payment date: 2024-09-17 • Largest payer in this snapshot: KCI USA, Inc. ($48).

Total Amount

$121

General + Research + Ownership

Payments

6

Total payment records

General Amount

$121

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-07-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190702000539INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11042Removal of skin and tissue, 20.0 sq cm or less36856$0
99212Established patient office or other outpatient visit, 10-19 minutes8243$0
97597Removal of tissue from wound, 20.0 sq cm or less8126$0
99213Established patient office or other outpatient visit, 20-29 minutes8041$0
11043Removal of muscle and/or tissue, 20.0 sq cm or less3014$0
View full utilization report →

Insurance plans in this area (ZIP 35150)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5294710398View full group profile
NameSpecialtyState
Orthopedic SurgeryAL
-AL
Internal MedicineAL
-AL
Family PracticeAL
Anesthesiology AssistantAL
H E M A T O L O G Y/ O N C O L O G YAL
A N E S T H E S I O L O G YAL
Emergency MedicineAL
Family PracticeAL

Reviews

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Frequently asked questions

Does MR. QUINCY ADAM LEACH (AGACNP) have a public NPI I can cite?
Public records show MR. QUINCY ADAM LEACH (AGACNP) under NPI 1104301233.
Does the public listing show MR. QUINCY ADAM LEACH (AGACNP) as active?
MR. QUINCY ADAM LEACH (AGACNP)'s NPI record reflects an active status in NPPES.
What type of care does MR. QUINCY ADAM LEACH (AGACNP) provide?
MR. QUINCY ADAM LEACH (AGACNP)'s profile centers on Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit MR. QUINCY ADAM LEACH (AGACNP) in Sylacauga, Alabama?
For routing, start with Sylacauga, Alabama for MR. QUINCY ADAM LEACH (AGACNP), then verify phone and hours locally.
Who maintains MR. QUINCY ADAM LEACH (AGACNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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