Active NPI
Jamaal A McLeod, D.O.
- Family Medicine Physician
- Leesburg, FL
National Provider Identifier
1093800906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS 9178
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010454700 | Medicaid | FL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS 9178 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Physical Medicine Inc | Current | Accepting new patients | |
| Advanced Physical Medicine Inc | Current | 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
- 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.
-
- General Practice Physician
- Orlando, FL
- NPI 1255690921
-
- Multi-Specialty Clinic/Center
- Orlando, FL
- NPI 1790232866
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.