Individual provider Active NPI

Paula J Legere, MD

  • Plastic Surgery Physician
  • Brunswick, GA
National Provider Identifier
1285728295
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
GA045871 Issued in GA
Practice address
2310 Heron St
Brunswick, GA 31520-4239
Phone
(912) 265-8988
Fax
(912) 265-0996
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X GA045871 GA Primary

Addresses

Primary practice location

2310 Heron St
Brunswick, GA 31520-4239

Mailing address

2310 Heron St
Brunswick, GA 31520-4239
Phone (912) 265-8988

Other identifiers 2

IdentifierTypeStateIssuer
240006575OtherGARAILROAD MEDICARE
00804053BMedicaidGA

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100512000008 GA Practitioner - Plastic and Reconstructive Surgery 9234267360 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Vermont College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooperative Healthcare Services IncGroup PAC ID 9830093640, 235 clinicians

Practice addresses (Care Compare)

2605 Parkwood Dr
Brunswick, GA 31520-4726
Phone (912) 554-3559

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Brunswick, GA, CCN 117144
  • Advantage Home Health Home health agency, Brunswick, GA, CCN 117088
  • Centerwell Home Health Home health agency, Savannah, GA, CCN 117090
  • Southeast Georgia Health System- Brunswick Campus Hospital, Brunswick, GA, CCN 110025
  • Southeast Georgia Health System -- Camden Campus Hospital, Saint Marys, GA, CCN 110146

Merit-based Incentive Payment System (MIPS)

Final score
76.36 of 100Reported as group
Quality
46.72
Promoting interoperability
99
Improvement activities
40
Cost
75.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue212
Removal of skin lesions273
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
GA045871GAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Plastic Surgery CurrentSince Aug 1, 2013 Accepting new patients
Cooperative Healthcare Services Inc CurrentSince Feb 1, 2024 Accepting new patients

Locations

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

2310 Heron St
Brunswick, GA 31520
Phone (912) 265-2223

1111 Glynco Pkwy
#402
Brunswick, GA 31525
Phone (912) 265-8988

1111 Glynco Pkwy
Ste 402
Brunswick, GA 31525
Phone (912) 265-8988

2605 Parkwood Dr
Brunswick, GA 31520
Phone (912) 265-4766

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1285728295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 HERON ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204239",
            "telephone_number": "912-265-8988",
            "fax_number": "912-265-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 HERON ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204239",
            "telephone_number": "912-265-8988",
            "fax_number": "912-265-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGERE",
        "first_name": "PAULA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "GA045871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "240006575",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00804053B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.