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

Leah Michelle Bagley, NP-C

Individual provider Family Nurse Practitioner · NPI 1962030809

Leah Michelle Bagley, NP-C is a Nurse Practitioner in Shaw AFB, South Carolina. Qualified in 2019, 7 years ago. Practices with Comprehensive Rehab Consultants PLLC, a 250-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia and South Carolina.

Years since qualifying
7
Licensed in
GA, SC
In the registry since
2020
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

420 Polifka Dr
Shaw AFB, SC 29152-5100
Phone: (803) 895-6191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 114 Gateway Corporate Blvd Ste 300, Columbia, SC 29203-8801 — (839) 200-7815
  • 7430 College St, Irmo, SC 29063-2903 — (839) 200-7810

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 24751 (SC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN262574 (GA)

Record details

NPI number1962030809
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorYes
NPI enumeratedMarch 27, 2020
Last updated in NPPESNovember 25, 2024
Certification dateNovember 25, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Comprehensive Rehab Consultants Pllc — 250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Shaw AFB