Active NPI
Premier Healthcare Center Corp
- Pain Medicine (Anesthesiology) Physician
- Decatur, GA
National Provider Identifier
1093331423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- PREMIER HEALTHCARE CENTER CORP
- Practice address
- 4153 Flat Shoals Pkwy Ste 102
Decatur, GA 30034-4106 - Phone
- (404) 241-7062
- NPI assigned
- Jun 22, 2020
- Last updated
- Jun 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Harvey Leslie, MD
- Title
- Ceo
- Phone
- (404) 241-7062
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | NU | Primary |
Addresses
Primary practice location
4153 Flat Shoals Pkwy Ste 102
Decatur, GA 30034-4106
Mailing address
4153 Flat Shoals Pkwy Ste 102
Decatur, GA 30034-4106
Phone (404) 241-7062
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pain Medicine Physician
- Decatur, GA
- NPI 1992883201
-
- Pain Medicine Physician
- Stockbridge, GA
- NPI 1962433508
-
- Physical Therapist
- Atlanta, GA
- NPI 1467987750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592784000000",
"number": "1093331423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4153 FLAT SHOALS PKWY STE 102",
"city": "DECATUR",
"state": "GA",
"postal_code": "300344106",
"telephone_number": "404-241-7062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4153 FLAT SHOALS PKWY STE 102",
"city": "DECATUR",
"state": "GA",
"postal_code": "300344106",
"telephone_number": "404-241-7062"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER HEALTHCARE CENTER CORP",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-22",
"last_updated": "2020-06-22",
"certification_date": "2020-06-22",
"status": "A",
"authorized_official_last_name": "LESLIE",
"authorized_official_first_name": "HARVEY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "404-241-7062",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.