Individual provider Active NPI

Jonathan Le, MD

  • Anesthesiology Physician
  • Waynesboro, GA
National Provider Identifier
1003340837
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
93700 Issued in GA
Practice address
300 Jones Ave
Waynesboro, GA 30830-1509
Phone
(706) 702-5636
NPI assigned
Apr 19, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 93700 GA
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X 93700 GA Primary

Addresses

Primary practice location

300 Jones Ave
Waynesboro, GA 30830-1509

Mailing address

351 S Liberty St
Waynesboro, GA 30830-9686

Other practice location 1

1067 Peachtree St
Louisville, GA 30434-1558
Phone (912) 542-0444

Other practice location 2

351 S Liberty St
Waynesboro, GA 30830-9686
Phone (706) 554-4435

Other practice location 3

501 Sparta Rd Ste C
Sandersville, GA 31082-1314
Phone (478) 552-3989 ext. 3

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221111001142 GA Practitioner - Anesthesiology 1951778455 Reassigns benefits to 3 organizations
I20230228001622 SC Practitioner - Anesthesiology 1951778455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Burke Hospital CompanyGroup PAC ID 3476956012, 8 clinicians

Practice addresses (Care Compare)

1058 Bermuda Run
Statesboro, GA 30458-0858
Phone (706) 702-5636

1067 Peachtree St
Louisville, GA 30434-1558
Phone (706) 702-5636

240 Walnut St
Millen, GA 30442-1607
Phone (912) 542-0444

300 Jones Ave
Waynesboro, GA 30830-1509
Phone (706) 702-5636

304 Jones Ave
Waynesboro, GA 30830-1509
Phone (706) 702-5636

351 S Liberty St
Waynesboro, GA 30830-9686
Phone (706) 554-4435

501 Sparta Rd
Suite C
Sandersville, GA 31082-1314
Phone 47855239893

86 Wren St
Barnwell, SC 29812-1529
Phone (912) 542-0444

Hospital & facility affiliations

  • Burke Medical Center Hospital, Waynesboro, GA, CCN 110113
  • Washington County Regional Medical Center Hospital, Sandersville, GA, CCN 110086
  • Jenkins County Medical Center Hospital, Millen, GA, CCN 111311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
93700GAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Consultants of Augusta, LLC Anesthesiology CurrentSince Mar 1, 2023 Accepting new patients
Burke Hospital Company CurrentSince Nov 1, 2022 Accepting new patients
Medstream Anesthesia PLLC Anesthesiology CurrentSince Jun 28, 2023 Accepting new patients
Burke County Hospital Authority Current Accepting new patients
Burke Hospital Company CurrentSince Nov 1, 2022 Accepting new patients
Burke Hospital Company CurrentSince Feb 1, 2023 Accepting new patients
Burke Hospital Company Past Accepting new patients
Burke Hospital Company Past Accepting new patients
Burke Hospital Company Past Accepting new patients
Burke Hospital Company Past Accepting new patients
Burke Hospital Company Past Accepting new patients
Burke Hospital Company Past Accepting new patients

Locations

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

1067 Peachtree St
Louisville, GA 30434
Phone (478) 625-7000

501 Sparta Rd
Ste C
Sandersville, GA 31082
Phone (478) 552-3989

610 Sparta Rd
Sandersville, GA 31082
Phone (478) 240-2000

1058 Bermuda Run
Statesboro, GA 30458
Phone (912) 871-7100

125C Victory Dr
Swainsboro, GA 30401
Phone (478) 289-3198

2520 University Dr
Thomson, GA 30824
Phone (706) 595-6211

304 Jones Ave
Waynesboro, GA 30830
Phone (706) 437-0046

351 S Liberty St
Waynesboro, GA 30830
Phone (706) 554-4435

300 Jones Ave
Waynesboro, GA 30830
Phone (706) 702-5636

86 Wren St
Barnwell, SC 29812
Phone (803) 259-5762

Interoperability endpoints

  • Direct secure messaging: jonathan.le.1@26855.direct.athenahealth.com
  • Direct secure messaging: jle146215@direct.phhs.org
  • FHIR API: https://fhir-usa.unify.chbase.com/org/wascore-96b84775

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1003340837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 S LIBERTY ST",
            "city": "WAYNESBORO",
            "state": "GA",
            "postal_code": "308309686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 JONES AVE",
            "city": "WAYNESBORO",
            "state": "GA",
            "postal_code": "308301509",
            "telephone_number": "706-702-5636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1067 Peachtree St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "GA",
            "postal_code": "304341558",
            "country_code": "US",
            "telephone_number": "912-542-0444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "351 S Liberty St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "GA",
            "postal_code": "308309686",
            "country_code": "US",
            "telephone_number": "706-554-4435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Sparta Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Sandersville",
            "state": "GA",
            "postal_code": "310821314",
            "country_code": "US",
            "telephone_number": "478-552-3989 x3",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "JONATHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-19",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "93700",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "93700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, GA

Sources for this page

Verify at the official NPI Registry.