Individual provider Active NPI

Leah Galloway Pombo, WHNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1275812760
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
180804 Issued in GA
Practice address
9 Dunwoody Park Ste 108
Atlanta, GA 30338-6712
Phone
(770) 393-1988
NPI assigned
Aug 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 180804 GA Primary

Addresses

Primary practice location

9 Dunwoody Park Ste 108
Atlanta, GA 30338-6712

Mailing address

5009 Old Ivy Rd
Duluth, GA 30096-2939
Phone (678) 779-3041

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)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
180804GAMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Womencare PA Past Accepting new patients
Unified Women'S Care of Georgia, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: leah.pombo.1@5518.direct.athenahealth.com

Organizations & group practices 2

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": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1275812760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 OLD IVY RD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300962939",
            "telephone_number": "678-779-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 DUNWOODY PARK STE 108",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386712",
            "telephone_number": "770-393-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMBO",
        "first_name": "LEAH",
        "middle_name": "GALLOWAY",
        "name_prefix": "Mrs.",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-15",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "GA",
            "license": "180804",
            "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 Aug 15, 2011; 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.