MS. MAYA DOCKERY LEINES FNP NPI 1942083035

NPI Information

  • NPI: 1942083035
  • Provider Name: MS. MAYA DOCKERY LEINES, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3290 SIXES RD
    CANTON, GA
    ZIP 30114
  • Phone: (678) 374-7514

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NPI Details

MS. Maya Dockery Leines, FNP is a family nurse practitioner in Canton, GA with 2 years of experience. MS. Maya Dockery Leines, FNP NPI is 1942083035. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3290 SIXES RD
CANTON, GA
ZIP 30114-102
Phone: (678) 374-7514
Fax: (770) 914-1070

The NPI 1942083035 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/14/2023 and was last updated on 3/4/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyRN106780GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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