Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Andrew T Leebolt, DO

Individual provider Emergency Medicine Physician · NPI 1104486885

Dr. Andrew T Leebolt, DO is an Emergency Medicine in Lillington, North Carolina. Graduated from Edward via Col of Osteo Medicine-Virginia Campus in 2019, 7 years ago. Practices with Western Virginia Regional Emergency Physicians LLC, a 90-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee and Virginia.

Years since qualifying
7
Trained at
Edward via Col of Osteo Medicine-Virginia Campus
Licensed in
TN, VA
In the registry since
2019
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

215 Brightwater Dr
Lillington, NC 27546
Phone: (910) 892-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 800 S Mohawk Dr Ste C, Erwin, TN 37650-2124 — (423) 735-0500

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5357 (TN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 5357 (TN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 0102208637 (VA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 0102208637 (VA)

Record details

NPI number1104486885
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 16, 2019
Last updated in NPPESApril 29, 2025
Certification dateApril 29, 2025
Mailing address215 Brightwater Drive, Lillington, NC 27546

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolEDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Graduated 2019 (7 years in practice)
Group practice Western Virginia Regional Emergency Physicians Llc — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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