Active NPI
Leesa Marie Harris
- Physician Assistant
- Atlanta, GA
National Provider Identifier
1194114306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 007481
- Practice address
- 1800 Howell Mill Rd NW
Suite 785
Atlanta, GA 30318-2538 - Phone
- (404) 425-1380
- Fax
- (404) 609-6600
- NPI assigned
- Jan 12, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 007481 | GA | Primary |
Addresses
Primary practice location
1800 Howell Mill Rd NW
Suite 785
Atlanta, GA 30318-2538
Mailing address
1800 Howell Mill Rd NW
Suite 785
Atlanta, GA 30318-2538
Phone (404) 425-1380
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007481 | GA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477872000000",
"number": "1194114306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 HOWELL MILL RD NW",
"address_2": "SUITE 785",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303182538",
"telephone_number": "404-425-1380",
"fax_number": "404-609-6600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 HOWELL MILL RD NW",
"address_2": "SUITE 785",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303182538",
"telephone_number": "404-425-1380",
"fax_number": "404-609-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "LEESA MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-12",
"last_updated": "2016-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "007481",
"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 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.