LEIA MARLENA THORNTON PAC NPI 1376597518

NPI Information

  • NPI: 1376597518
  • Provider Name: LEIA MARLENA THORNTON, PAC
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2650 GUNTER PARK DRIVE EAST
    MONTGOMERY, AL
    ZIP 36109
  • Phone: (334) 523-6395

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NPI Details

Leia Marlena Thornton, PAC is a physician assistant in Montgomery, AL. The provider is 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. Leia Marlena Thornton, PAC NPI is 1376597518. 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:

2650 GUNTER PARK DRIVE EAST
MONTGOMERY, AL
ZIP 36109
Phone: (334) 523-6395
Fax: (334) 523-6390

The NPI 1376597518 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 5/20/2006 and was last updated on 8/30/2024.

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
1363AM0700XPhysician AssistantMedicalPA435ALABAMANo
2363A00000XPhysician AssistantPA435ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
106437010MEDICAIDMISSISSIPPI
2009936221MEDICAIDALABAMA
351533432OTHERALABAMABCBS
41504297MEDICAIDFLORIDA

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: 11/21/2025

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