Michael Arnez Leggett, IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

1063 Uss Georgia Ave
Commander Submarine Group Ten
Kings Bay, GA 31558-2626

Phone

(912) 409-8349

NPI assigned

Dec 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269216000000",
    "number": "1275717092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 EAGLE BLVD",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486133",
            "telephone_number": "912-882-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1063 USS GEORGIA AVE",
            "address_2": "COMMANDER SUBMARINE GROUP TEN",
            "city": "KINGS BAY",
            "state": "GA",
            "postal_code": "315582626",
            "telephone_number": "912-409-8349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGGETT",
        "first_name": "MICHAEL",
        "middle_name": "ARNEZ",
        "credential": "IDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-28",
        "last_updated": "2010-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keisha Perry Jackson, PMHNP
• Melissa Johnson
• Edward Vincent Kay
• Michael Dennis Lappi
• Eric Windsor Larson Sr., SUBMARINE IDC
• Tony Wayne Lyle, NAVY IDC
• Jeffrey Scott Martin, I.D.C
• Julianne Rockett Maynard, RDN, LD
• Odelia Nicole McFadden, PSY.D.
• Sean Thomas Sengiawasa Meadors, SSIDC

• Independent Duty Corpsman in Kings Bay, GA
• Providers in Kings Bay, GA by specialty
• Independent Duty Corpsman in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.