LEAH FAITH HARTPENCE (APRN) – Primary Care Nurse Practitioner, NPI 1740862762

LEAH FAITH HARTPENCE (APRN) is a healthcare provider. based in Fayetteville, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. RN103159 (GA). The NPI Number for LEAH FAITH HARTPENCE (APRN) is 1740862762

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
LEAH FAITH HARTPENCE (APRN)
NPI
1740862762
Phone
(770) 461-1009
Address
500 Lanier Ave W Ste 101
Enumeration Date
28 April 2021
Last Update Date
7 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7709681746
Graduation Year
2020 (6 years ago)
PAC ID
0840652269
Group Practice PAC ID
7214824655
Professional Enrollment ID
I20230817001255
Address ID
GA302361583JO696XXRDXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for LEAH FAITH HARTPENCE (APRN)

  • 500 Lanier Ave W Ste 101

    Fayetteville, GA 302147640

    Phone: (770) 461-1009

    Fax: (770) 461-1002

    Type: Location

  • 696 MOUNT ZION RD STE C4

    JONESBORO, GA 302361583

    Phone: (770) 968-1746

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-08-17

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
I20230817001255INurse PractitionerGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30214)

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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: 7214824655View full group profile
NameSpecialtyState
C H I R O P R A C T I CGA
C H I R O P R A C T I CGA
C H I R O P R A C T I CGA
-GA
C H I R O P R A C T I CGA

Reviews

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Frequently asked questions

What federal number belongs to LEAH FAITH HARTPENCE (APRN)?
The federal identifier for LEAH FAITH HARTPENCE (APRN) is NPI 1740862762.
Does this profile mean LEAH FAITH HARTPENCE (APRN) is currently active?
Yes — LEAH FAITH HARTPENCE (APRN) appears active in the national provider directory.
Can you summarize LEAH FAITH HARTPENCE (APRN)'s specialty in plain language?
Clinically, the directory lists LEAH FAITH HARTPENCE (APRN) with Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for LEAH FAITH HARTPENCE (APRN)?
The page summarizes Fayetteville, Georgia for LEAH FAITH HARTPENCE (APRN); expand the address list for detail.
How can I contact LEAH FAITH HARTPENCE (APRN)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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