Active NPI
Jeff L McLeod, MD
- Family Medicine Physician
- Midlothian, VA
National Provider Identifier
1265535488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 50376
- Practice address
- 5001 West Village Green Drive
Suite 108
Midlothian, VA 23112 - Phone
- (804) 763-1058
- Fax
- (804) 763-2693
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 50376 | VA | Primary |
Addresses
Primary practice location
5001 West Village Green Drive
Suite 108
Midlothian, VA 23112
Mailing address
5001 West Village Green Drive
Suite 108
Midlothian, VA 23112
Phone (804) 763-1058
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010128056 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050321000070 | VA | Practitioner - Family Practice | 0749235273 |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Douglas Avery and Associates LTDLegacy Healthcare Services Inc
Practice addresses (Care Compare)
12725 Stone Village Way
Midlothian, VA 23113-2722
Phone (804) 245-8430
9642 Burke Lake Rd
Burke, VA 22015-3052
Phone (703) 543-7920
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50376 | VA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265535488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5001 WEST VILLAGE GREEN DRIVE",
"address_2": "SUITE 108",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "23112",
"telephone_number": "804-763-1058",
"fax_number": "804-763-2693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5001 WEST VILLAGE GREEN DRIVE",
"address_2": "SUITE 108",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "23112",
"telephone_number": "804-763-1058",
"fax_number": "804-763-2693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEOD",
"first_name": "JEFF",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "50376",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010128056",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.