Individual provider Active NPI

Jamaal A McLeod, D.O.

  • Family Medicine Physician
  • Leesburg, FL
National Provider Identifier
1093800906
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS 9178 Issued in FL
Practice address
550 E Dixie Ave
Leesburg, FL 34748-5925
Phone
(352) 323-2273
Fax
(352) 323-2261
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS 9178 FL Primary

Addresses

Primary practice location

550 E Dixie Ave
Leesburg, FL 34748-5925

Mailing address

600 E Dixie Ave
Reimbursement/Credentialing Dept.
Leesburg, FL 34748-5925
Phone (352) 323-4267

Other identifiers 1

IdentifierTypeStateIssuer
010454700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050607000774 FL Practitioner - Family Practice 8820031255 Reassigns benefits to 1 organization
Practice locations: Orlando, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS 9178FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Medicine Inc CurrentSince Jan 12, 2015 Accepting new patients
Advanced Physical Medicine Inc CurrentSince Jan 12, 2015 Accepting new patients

Locations

953 N Semoran Blvd
Orlando, FL 32807
Phone (407) 282-3615

12554 S John Young Pkwy
Ste 103
Orlando, FL 32837
Phone (407) 282-3615

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jamaal.mcleod@523775437635588.direct.elationemr.com

Organizations & group practices 2

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449187200000",
    "number": "1093800906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E DIXIE AVE",
            "address_2": "REIMBURSEMENT/CREDENTIALING DEPT.",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485925",
            "telephone_number": "352-323-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E DIXIE AVE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485925",
            "telephone_number": "352-323-2273",
            "fax_number": "352-323-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "JAMAAL",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2015-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS 9178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010454700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.