Individual provider Active NPI

Leslie S Gaskill, M.D.

  • Family Medicine Physician
  • Duluth, GA
National Provider Identifier
1144242207
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
46406 Issued in GA
Practice address
6290 Abbotts Bridge Rd Ste 201 BLDG 200
Duluth, GA 30097-1750
Phone
(770) 495-9995
Fax
(770) 232-1999
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 46406 GA Primary

Addresses

Primary practice location

6290 Abbotts Bridge Rd Ste 201 BLDG 200
Duluth, GA 30097-1750

Mailing address

6290 Abbotts Bridge Rd Ste 201 BLDG 200
Duluth, GA 30097-1750
Phone (770) 495-9995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20050126000228 GA Practitioner - Family Practice 9032169354

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46406GAMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: lesliegaskill@lgml-ga.direct.office.nextgen.com

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144242207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6290 ABBOTTS BRIDGE RD STE 201 BLDG 200",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300971750",
            "telephone_number": "770-495-9995",
            "fax_number": "770-232-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6290 ABBOTTS BRIDGE RD STE 201 BLDG 200",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300971750",
            "telephone_number": "770-495-9995",
            "fax_number": "770-232-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASKILL",
        "first_name": "LESLIE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "46406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.