NPIMap

Individual provider Active NPI

Georgina Leamon, MD

  • Internal Medicine Physician
  • Berkley, MI
National Provider Identifier
1124558457
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4351042777 Issued in MI
Practice address
1949 12 Mile Rd Ste 100
Berkley, MI 48072-1868
Phone
(248) 551-0615
NPI assigned
Jun 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4351042777 MI Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 4351042777 MI

Addresses

Primary practice location

1949 12 Mile Rd Ste 100
Berkley, MI 48072-1868

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Phone (947) 522-1863

Other practice location 1

3535 W 13 Mile Rd Ste Ll
Royal Oak, MI 48073-6770
Phone (248) 551-3000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gmorris461971@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230614003981 NM Practitioner - Internal MedicinePractitioner - Geriatric Medicine 4284903147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

Practice addresses (Care Compare)

1010 Spruce St
Espanola, NM 87532-2724
Phone (505) 367-0360

Hospital & facility affiliations

  • Ambercare Home Health Home health agency, Belen, NM, CCN 327123
  • Presbyterian Home Healthcare of Northern NM Home health agency, Santa Fe, NM, CCN 327233
  • Presbyterian Espanola Hospital Hospital, Espanola, NM, CCN 320011
  • Christus St Vincent Regional Medical Center Hospital, Santa Fe, NM, CCN 320002
  • Holy Cross Hospital a Div of Taos Health Systems Hospital, Taos, NM, CCN 321310
  • Presbyterian Santa Fe Medical Center Hospital, Santa Fe, NM, CCN 320090
  • Presbyterian Hospital Hospital, Albuquerque, NM, CCN 320021

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4351042777MIMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services Internal Medicine CurrentSince Jul 5, 2023 Accepting new patients
Presbyterian Healthcare Services Internal Medicine CurrentSince Jul 5, 2023 Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients
Presbyterian Healthcare Services Internal Medicine Past Accepting new patients

Locations

4588 Paradise Blvd NW
Albuquerque, NM 87114
Phone (505) 923-2070

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

1010 Spruce St
Fl 2
Espanola, NM 87532
Phone (505) 367-0340

1010 Spruce St
Espanola, NM 87532
Phone (505) 367-0340

Interoperability endpoints

  • Direct secure messaging: gleamon233427@direct.phs.org

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124558457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849",
            "telephone_number": "947-522-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 12 MILE RD STE 100",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721868",
            "telephone_number": "248-551-0615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3535 W 13 Mile Rd Ste Ll",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736770",
            "country_code": "US",
            "telephone_number": "248-551-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEAMON",
        "first_name": "GEORGINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4351042777",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "4351042777",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gmorris461971@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "1949 12 Mile Rd Ste 100",
            "city": "Berkley",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480721868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Berkley, MI

Sources for this page

Verify at the official NPI Registry.