Individual provider Active NPI

Leon H Dejournett, M.D.

  • Pediatrics Physician
  • Asheville, NC
National Provider Identifier
1043290539
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
9400462 Issued in NC
Practice address
11 Vanderbilt Park Dr
Asheville, NC 28803-1700
Phone
(828) 213-1740
Fax
(828) 213-1742
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Critical Care Medicine Physician 2080P0203X 9400462 NC
Pediatrics Physician 208000000X 9400462 NC Primary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X 9400462 NC

Addresses

Primary practice location

11 Vanderbilt Park Dr
Asheville, NC 28803-1700

Mailing address

PO Box 602373
Charlotte, NC 28260-2373
Phone (828) 250-2833

Other identifiers 1

IdentifierTypeStateIssuer
8928269MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090808000017 NC Practitioner - Pediatric MedicinePractitioner - Critical Care (Intensivists) 6406909449 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Community Anesthesiology Specialists LLC CurrentSince Dec 1, 2018 Accepting new patients
Mission Health Community Multispecialty Providers, LLC Current Accepting new patients
Mission Community Anesthesiology Specialists LLC CurrentSince Dec 1, 2018 Accepting new patients
Mission Community Anesthesiology Specialists LLC Past Accepting new patients

Locations

21 Hospital Dr
Fl 2
Asheville, NC 28801
Phone (828) 213-2430

1 Hospital Dr
Asheville, NC 28801
Phone (828) 213-1994

9 Vanderbilt Park Dr
Asheville, NC 28803
Phone (828) 213-0129

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

11 Vanderbilt Park Dr
Asheville, NC 28803
Phone (828) 213-1780

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1043290539",
    "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": "828-250-2833",
            "fax_number": "828-665-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 VANDERBILT PARK DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288031700",
            "telephone_number": "828-213-1740",
            "fax_number": "828-213-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJOURNETT",
        "first_name": "LEON",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "NC",
            "license": "9400462",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "9400462",
            "primary": true
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "NC",
            "license": "9400462",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8928269",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.