Active NPI
Leelamma Philip George, RN
- Registered Nurse
- Atlanta, GA
National Provider Identifier
1104015163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN159964
- Practice address
- 550 Peachtree St NE
Atlanta, GA 30308-2247 - Phone
- (404) 686-2201
- NPI assigned
- Oct 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN159964 | GA | Primary |
Addresses
Primary practice location
550 Peachtree St NE
Atlanta, GA 30308-2247
Mailing address
1125 Chris Lake Dr
Lawrenceville, GA 30045-3346
Phone (678) 442-1749
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN159964 | GA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192492800000",
"number": "1104015163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 CHRIS LAKE DR",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300453346",
"telephone_number": "678-442-1749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 PEACHTREE ST NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082247",
"telephone_number": "404-686-2201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "LEELAMMA",
"middle_name": "PHILIP",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-16",
"last_updated": "2007-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN159964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.