Individual provider Active NPI

Keith Edwin Leap II, MD

  • Emergency Medicine Physician
  • Gainesville, GA
National Provider Identifier
1003884503
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
073593 Issued in GA
Practice address
743 Spring St NE
Gainesville, GA 30501-3715
Phone
(786) 357-9327
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 27

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 27

Hospital & facility affiliations 1

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

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
West Virginia University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acs Primary Care Physicians - Southeast PC 409 clinicians
Princeton Community Hospital Assn. Inc. 174 clinicians
Ich ER Services LLC 30 clinicians

Practice addresses (Care Compare)

1000 Wellness Way
Fort Mill, SC 29715-7315
Phone (803) 329-1234

122 12TH St
Princeton, WV 24740-2312
Phone (304) 487-7936

163 Hospital Dr
Toccoa, GA 30577-6820
Phone (706) 886-6841

800 N Fant St
Anderson, SC 29621-5708
Phone (864) 512-1000

Hospital & facility affiliations

  • Princeton Community Hospital Assn Inc Hospital, Princeton, WV, CCN 510046

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA, NC, WV4 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.

Medicare enrollment records 4

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20120213000258 SC Practitioner - Emergency Medicine 1658538053 Reassigns benefits to 5 organizations
I20150603001799 GA Practitioner - Emergency Medicine 1658538053 Reassigns benefits to 2 organizations
I20160222000810 NC Practitioner - Emergency Medicine 1658538053 Reassigns benefits to 1 organization
I20231005001914 WV Practitioner - Emergency Medicine 1658538053 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Development Co Current Accepting new patients
Murphy Emergency Physicians, PLLC Emergency Medicine CurrentSince Apr 1, 2020 Accepting new patients
Mountain Area Family Medicine, PA Current Accepting new patients
MH Highlands-Cashiers Medical Center, LLLP Current Accepting new patients
Hospital Development Co Emergency Medicine CurrentSince Dec 1, 2023 Accepting new patients
Ich ER Services, LLC Emergency Medicine CurrentSince Feb 20, 2025 Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Apr 8, 2020 Accepting new patients
Cannon Memorial Hospital CurrentSince Nov 19, 2019 Accepting new patients
Cannon Memorial Hospital Emergency Medicine CurrentSince Nov 19, 2019 Accepting new patients
Stephens County Hospital Authority CurrentSince Apr 1, 2015 Accepting new patients
Hospital Development Co Current Accepting new patients
Hampton Regional Medical Center CurrentSince Feb 1, 2021 Accepting new patients
Hospital Development Co CurrentSince Dec 1, 2023 Accepting new patients
Princeton Community Hospital Assn Inc. CurrentSince Jul 18, 2023 Accepting new patients
Hampton Regional Medical Center CurrentSince Feb 1, 2021 Accepting new patients
Stephens County Hospital Authority CurrentSince Apr 1, 2015 Accepting new patients
Hilton Head Emergency Physicians, LLC Emergency Medicine CurrentSince Jul 27, 2015 Accepting new patients
Princeton Community Hospital Assn., Inc CurrentSince Jul 18, 2023 Accepting new patients
Hilton Head Emergency Physicians, Inc. Emergency Medicine CurrentSince Jul 27, 2015 Accepting new patients
East Morgan County Hospital Past Accepting new patients
Oconee Medical Center Past Accepting new patients
Emergency Physician Services Past Accepting new patients
Deaconess Memorial Medical Center Inc Past Accepting new patients

Locations

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

163 Hospital Dr
Toccoa, GA 30577
Phone (706) 282-4200

316 N Broad St
Winder, GA 30680
Phone (770) 307-5354

190 Hospital Dr
Highlands, NC 28741
Phone (828) 213-9530

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

1000 Wellness Way
Fort Mill, SC 29715
Phone (803) 329-1234

25 Hospital Ctr
Hilton Head Island, SC 29926
Phone (843) 682-2345

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

123 Wg Acker Dr
Pickens, SC 29671
Phone (864) 512-2465

2110 Highway 86
Piedmont, SC 29673
Phone (864) 512-1333

595 W Carolina Ave
Varnville, SC 29944
Phone (803) 943-1221

401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325

500 Cherry St
Bluefield, WV 24701
Phone (304) 324-2614

122 12th St
Princeton, WV 24740
Phone (304) 487-7061

200 Hospital Dr
Spencer, WV 25276
Phone (304) 927-4444

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: kleap92619@directmcleodehealth.org
  • Direct secure messaging: kleap312198@direct.wvuhsdirect.com
  • Direct secure messaging: kleap84803@direct.anmedhealth.net

Specialties & licenses 4

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2015-00392 NC
Emergency Medicine Physician 207P00000X 31330 WV
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 16953 SC
Emergency Medicine Physician 207P00000X 073593 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

743 Spring St NE
Gainesville, GA 30501-3715

Mailing address

PO Box 602373
Charlotte, NC 28260-2373
Phone (828) 526-1280

Other practice location 1

200 Hospital Dr
Spencer, WV 25276-1050
Phone (304) 927-4444

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
NCR321AOtherNCMEDICARE PTAN
NCR321BOtherNCMEDICARE PTAN
NCR486A194OtherNCMEDICARE PTAN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 14, 2024.

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1003884503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602373",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602373",
            "telephone_number": "828-526-1280",
            "fax_number": "828-526-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 SPRING ST NE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013715",
            "telephone_number": "786-357-9327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Spencer",
            "state": "WV",
            "postal_code": "252761050",
            "country_code": "US",
            "telephone_number": "304-927-4444",
            "fax_number": "304-927-6837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEAP",
        "first_name": "KEITH",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2015-00392",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "31330",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "SC",
            "license": "16953",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "073593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NCR321A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NCR321B",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NCR486A194",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.