MRS. ELIZABETH REBECCA LYNN MCLEISH (FNP-C) – Family Nurse Practitioner, NPI 1417188012
Family Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for MRS. ELIZABETH REBECCA LYNN MCLEISH (FNP-C)
1689 OLD PENDERGRASS RD STE 340
JEFFERSON, GA 305492716
Phone: (067) 082-3447
Fax: (706) 708-2342
Type: Mailing
Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Georgia, 30308, United States
ATLANTA, GA 303742616
Phone: (770) 219-9200
Type: Mailing
Johnson's River Place Pharmacy, 2625, Old Winder Highway, Braselton, Hall County, Georgia, 30517, United States
SUITE 201
BRASELTON, GA 305175600
Phone: (770) 219-9200
Fax: (770) 219-9273
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 35 Open Payments records for all available years, with a total value of $582.
Total Amount is formed as General ($582) + Research ($0) + Ownership ($0) = $582.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Lilly USA, LLC ($186).
Total Amount
$582
General + Research + Ownership
Payments
35
Total payment records
General Amount
$582
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $186 |
| AstraZeneca Pharmaceuticals LP | $102 |
| Bayer Healthcare Pharmaceuticals Inc. | $33 |
| Exact Sciences Corporation | $33 |
| ABBVIE INC. | $33 |
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: 2012-08-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120828000670 | I | Nurse Practitioner | GA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30549)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| P A T H O L O G Y | GA | |
| General Surgery | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| H E M A T O L O G Y/ O N C O L O G Y | GA | |
| - | GA | |
| Physician Assistant | GA |
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