Individual provider Active NPI

Leslie Yvette Dorsey, MD

  • Anesthesiology Physician
  • Morrow, GA
National Provider Identifier
1255388195
Registry record updated Mar 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
55122 Issued in GA
Practice address
6645 Lake Dr
Morrow, GA 30260-2354
Phone
(770) 968-9978
Fax
(770) 968-9975
NPI assigned
May 27, 2006
Last updated
Mar 19, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 55122 GA Primary

Addresses

Primary practice location

6645 Lake Dr
Morrow, GA 30260-2354

Mailing address

PO Box 278
Jonesboro, GA 30237-0278
Phone (770) 968-9978

Other identifiers 1

IdentifierTypeStateIssuer
474603110AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20220428001700 MS Practitioner - Anesthesiology 8729042072 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55122GAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Jan 7, 2022 Accepting new patients
Capitol Anesthesiology, PC Anesthesiology Past Accepting new patients
University Anesthesia Services, PLLC Anesthesiology Past Accepting new patients

Locations

460 Briarwood Dr
Ste 400
Jackson, MS 39206
Phone (662) 390-7670

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268956800000",
    "number": "1255388195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302370278",
            "telephone_number": "770-968-9978",
            "fax_number": "770-968-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6645 LAKE DR",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602354",
            "telephone_number": "770-968-9978",
            "fax_number": "770-968-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSEY",
        "first_name": "LESLIE",
        "middle_name": "YVETTE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2010-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "55122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "474603110A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrow, GA

Sources for this page

Verify at the official NPI Registry.