Individual provider Active NPI

Lisa McLeod, DO

  • Obstetrics & Gynecology Physician
  • Canton, GA
National Provider Identifier
1295911006
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
87888 Issued in GA
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

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110218000615 NY Practitioner - Obstetrics/Gynecology 8426239799 Reassigns benefits to 2 organizations
I20260213002064 GA Practitioner - Obstetrics/Gynecology 8426239799 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
87888GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Surgical Professional Services LLC CurrentSince Apr 1, 2026 Accepting new patients
Sun River Health Inc. CurrentSince Apr 20, 2020 Accepting new patients
The Westchester Medical Practice, PC CurrentSince Sep 18, 2017 Accepting new patients
The Westchester Medical Practice, PC CurrentSince Sep 18, 2017 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.

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

Verify at the official NPI Registry.