CODY LEATHERWOOD (NPI# 1235606138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235606138 |
| Entity Type | Individual |
| Full Name | CODY LEATHERWOOD |
| Practice Address |
302 Catamaran Rd Swansboro NC 28584-2505 |
| Mailing Address |
Po Box 774 Buchanan GA 30113-0774 |
| Practice Telephone | 7708536522 |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2018-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 8665 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
302 CATAMARAN RD |
| City | SWANSBORO |
| State | NC |
| Zip Code | 28584-2505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609373562 | Haldis Andersen | Dentist | 202 Mclean Blvd, Cape Carteret, NC 28584 | 2018-04-08 |
| 1740736560 | Savannah Corey | Social Worker | 20 Creekside Woods Drive, Swansboro, NC 28584 | 2016-08-31 |
| 1780919498 | Hunter Creech Brown | Pharmacist | 319 W.b.mclean Dr., Cape Carteret, NC 28584 | 2009-10-14 |
| 1518139807 | Julie E. Marion | Counselor | 624-2 W Corbett Ave, Crystal Coast Counseling, Swansboro, NC 28584 | 2008-03-27 |
| 1174795462 | Crystal Coast Counseling, Pllc | Counselor | 624-2 West Corbett Ave, Swansboro, NC 28584 | 2008-03-27 |
| 1316023534 | Richard Coe Holmes | Dentist | 710 Cedar Point Blvd, Cedar Point, NC 28584 | 2006-10-31 |
| 1750485165 | Anderson and Slack and Associates | Dentist | 718a West Corbett Ave, Swansboro, NC 28584 | 2006-09-08 |
| 1245340645 | James B Slack | Dentist | 718a West Corbett Avenue, Swansboro, NC 28584 | 2006-08-30 |
| 1912017013 | Gina C Mancini | Dentist | 718 A West Corbett Avenue, Swansboro, NC 28584 | 2006-08-30 |
| 1962512368 | Doris J Black | Dentist | 200 718a West Corbett Avenue, Swansboro, NC 28584 | 2006-08-30 |
| Find all providers in zip 28584 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821108630 | Johnathan Eric Sawyer | Physician Assistant | 205 Ward Rd, Suite 2, Swansboro, NC 28584-8266 | 2006-08-30 |
| 1073985800 | White Oak Medical Pllc | Physician Assistant | 205 Ward Rd, Suite #2, Swansboro, NC 28584-8265 | 2015-10-20 |
| 1154458388 | Sharon Elaine Matteson | Physician Assistant | 718 W Corbett Ave, Swansboro, NC 28584-8452 | 2007-02-27 |
| 1326093956 | Kelly Rae Durham | Physician Assistant | 1106 Main Street Ext, Swansboro, NC 28584-9114 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538459 | Sarah Jane Lamanna | Physician Assistant | 3012 Bristol Creek Dr, Morrisville, NC 27560-7811 | 2020-11-04 |
| 1043819741 | Brad Russell Tolan | Physician Assistant | 211 Pinegate Cir Apt 12, Chapel Hill, NC 27514-2221 | 2020-10-22 |
| 1265030654 | Vanessa Vinson | Physician Assistant | 284 Lower Edgewood Rd, Candler, NC 28715-9285 | 2020-10-16 |
| 1649878810 | Courtney Michelle Watlington | Physician Assistant | 360 N Bennett St, Southern Pines, NC 28387-4813 | 2020-10-11 |
| 1669079034 | Christine Meyer | Physician Assistant | 2523 Creek Ridge Ln, Chapel Hill, NC 27514-7454 | 2020-10-07 |
| 1407453319 | Khyan Waddell | Physician Assistant | 127 Sneed Rd, Enfield, NC 27823-9589 | 2020-10-04 |
| 1053918979 | Amjad Ali | Physician Assistant | 730 Montlieu Ave, High Point, NC 27260-4000 | 2020-10-04 |
| 1104433382 | Aditi Bhattacharjee Sundaresan | Physician Assistant | 131 Mallard Ct, Chapel Hill, NC 27517-9104 | 2020-09-30 |
| 1689281933 | Kathryn Tarulli | Physician Assistant | 600 W Main St Apt 624, Durham, NC 27701-5005 | 2020-09-29 |
| 1205443991 | Kelsey Mendez | Physician Assistant | 105 Basket Oak Dr, Bunnlevel, NC 28323-9141 | 2020-09-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.