Active NPI
Lisa McLeod, DO
- Obstetrics & Gynecology Physician
- Canton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 87888
- Practice address
- 227 Riverstone Dr
Canton, GA 30114-5256 - Phone
- (770) 720-7733
- Fax
- (770) 720-7557
- NPI assigned
- Jan 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 87888 | GA | Primary |
Addresses
Primary practice location
227 Riverstone Dr
Canton, GA 30114-5256
Mailing address
227 Riverstone Dr
Canton, GA 30114-5256
Phone (770) 720-7733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1000 Johnson Fy Rd NE
Atlanta, GA 30342
Northside Hospital Managed Care Dept
905 1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87888 | GA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Surgical Professional Services LLC | Current | Accepting new patients | |
| Sun River Health Inc. | Current | Accepting new patients | |
| The Westchester Medical Practice, PC | Current | Accepting new patients | |
| The Westchester Medical Practice, PC | Current | Accepting new patients | |
| Sun River Health Inc | Current | Accepting new patients | |
| Northside Hospital, Inc. | Past | Accepting new patients |
Locations
227 Riverstone Dr
Canton, GA 30114
Phone (770) 720-7733
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006
1968 Crompond Rd
Cortlandt Manor, NY 10567
Phone (914) 736-6180
1980 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 734-3600
1037 Main St
Peekskill, NY 10566
Phone (914) 734-8800
2649 Strang Blvd
Ste 304
Yorktown Heights, NY 10598
Phone (646) 745-6369
Organizations & group practices 6
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.
-
- Surgery Physician
- Atlanta, GA
- NPI 1356630990
-
- Federally Qualified Health Center (FQHC)
- Amenia, NY
- NPI 1568526838
-
- Specialist
- Yorktown Heights, NY
- NPI 1225222953
-
- Federally Qualified Health Center (FQHC)
- Peekskill, NY
- NPI 1619969458
-
- Multi-Specialty Clinic/Center
- Cortlandt Manor, NY
- NPI 1982109120
-
- General Acute Care Hospital
- Canton, GA
- NPI 1225050396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705968000000",
"number": "1295911006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 RIVERSTONE DR",
"city": "CANTON",
"state": "GA",
"postal_code": "301145256",
"telephone_number": "770-720-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 RIVERSTONE DR",
"city": "CANTON",
"state": "GA",
"postal_code": "301145256",
"telephone_number": "770-720-7733",
"fax_number": "770-720-7557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEOD",
"first_name": "LISA",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-11",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "87888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.