Individual provider Active NPI

Leon Albert Hyer, PSYCHOLOGIST

  • Clinical Psychologist
  • Macon, GA
National Provider Identifier
1215026067
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
00633 Issued in GA
Practice address
840 Pine St
Suite 880
Macon, GA 31201-2100
Phone
(478) 743-7093
Fax
(478) 743-6293
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 00633 GA Primary
Psychologist 103T00000X 35SI00098800 NJ

Addresses

Primary practice location

840 Pine St
Suite 880
Macon, GA 31201-2100

Mailing address

840 Pine St
Suite 880
Macon, GA 31201-2100
Phone (478) 743-7093

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061218000390 GA Practitioner - Clinical Psychologist 4688616493 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35SI00098800NJMDPsychologist
00633GAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Behavioral Health Services CurrentSince Jan 18, 2020 Accepting new patients
Gateway Community Service Board CurrentSince Jan 18, 2020 Accepting new patients
Georgia Neurosurgical Institute, P.C. CurrentSince Dec 15, 2006 Accepting new patients
Savannah Neurology Specialists P C CurrentSince Jul 1, 2023 Accepting new patients
Rutgers Health-RWJ Scleroderma Program Psychologist Past Accepting new patients
Rutgers Health - Behavioral Health Past Accepting new patients
Rutgers Health-RWJ Scleroderma Program Past Accepting new patients

Locations

700 Coastal Village Dr
Brunswick, GA 31520
Phone (912) 554-8400

600 Coastal Village Dr
Brunswick, GA 31520
Phone (912) 449-7111

1113 E Oglethorpe Hwy
Hinesville, GA 31313
Phone (912) 280-7023

840 Pine St
Ste 880
Macon, GA 31201
Phone (478) 743-7092

6602 Waters Ave
Bldg C
Savannah, GA 31406
Phone (912) 354-7676

4451 Paulsen St
Savannah, GA 31405
Phone (912) 350-7500

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445472000000",
    "number": "1215026067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 PINE ST",
            "address_2": "SUITE 880",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012100",
            "telephone_number": "478-743-7093",
            "fax_number": "478-743-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 PINE ST",
            "address_2": "SUITE 880",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012100",
            "telephone_number": "478-743-7093",
            "fax_number": "478-743-6293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYER",
        "first_name": "LEON",
        "middle_name": "ALBERT",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2015-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "00633",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00098800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.