Leslie M Dally, DO

Primary specialty

Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X

License

03348 Issued in KY

Practice address

944 Searcy Way
Bowling Green, KY 42103-7168

Phone

(270) 467-7180

Fax

(270) 904-2862

NPI assigned

Aug 26, 2008

Last updated

Jan 17, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in KY, TN2 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

Specialty

Addiction MedicineAlso: Family Practice

Education

Kansas City College of Medicine and Surgery, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Specialistsmat PSCGroup PAC ID 7810307634, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Specialistsmat PSC

  • Addiction Medicine (Anesthesiology) Physician
  • Elizabethtown, KY
  • NPI 1851998181
  Medicare reassignment Care Compare group NPD
• Cedar Recovery Center of Middle Tennessee, LLC

  • Addiction Medicine (Preventive Medicine) Physician
  • Columbia, TN
  • NPI 1801345285
  Medicare reassignment NPD
• Cedar Recovery of Middle Tennessee, LLC

  dba CedarRx

  • Clinic Pharmacy
  • Lebanon, TN
  • NPI 1497458111
  NPD
• CG Medical Associates Inc

  • Urgent Care Clinic/Center
  • Cincinnati, OH
  • NPI 1982903951

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1306093877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 SEARCY WAY",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037168",
            "telephone_number": "270-467-7180",
            "fax_number": "270-904-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 SEARCY WAY",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037168",
            "telephone_number": "270-467-7180",
            "fax_number": "270-904-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLY",
        "first_name": "LESLIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-26",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "KY",
            "license": "03348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Karen Ann Daffron, COTA
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• Daniel & Max, LLC (Stanton Optical)
• Joesph Daniel, PT, DPT
• Kelly Lee Daniel, CCC-A
• Michael Daniel, PEER SUPPORT SPEC.

• Addiction Medicine (Preventive Medicine) Physician in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Addiction Medicine (Preventive Medicine) Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.

Verify at the official NPI Registry.