Individual provider Active NPI

Alberto Luis Leon, M.D.

  • Pediatrics Physician
  • Whiteville, NC
National Provider Identifier
1326018912
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2018-01802 Issued in NC
Practice address
36 McNeill PLZ
Whiteville, NC 28472-8602
Phone
(910) 640-4064
NPI assigned
Jan 25, 2006
Last updated
Mar 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 40932 FL
Pediatrics Physician 208000000X 2018-01802 NC Primary

Addresses

Primary practice location

36 McNeill PLZ
Whiteville, NC 28472-8602

Mailing address

714 Talon CT
Evans, GA 30809-4889
Phone (904) 608-0476

Other practice location 1

450 S Main St
LaBelle, FL 33935-4629
Phone (863) 675-2356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL2 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
I20190228000435 NC Practitioner - Pediatric Medicine 3274797923 Reassigns benefits to 2 organizations
I20230120001358 FL Practitioner - Pediatric Medicine 3274797923 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40932FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hendry County Hospital Authority CurrentSince Jan 16, 2023 Accepting new patients
Hendry County Hospital Authority CurrentSince Jan 16, 2023 Accepting new patients
Hendry County Hospital Authority Current Accepting new patients
Columbus Regional Health Network Current Accepting new patients
Columbus Regional Health Network CurrentSince Nov 4, 2024 Accepting new patients
Columbus Regional Health Network Pediatrics CurrentSince Nov 4, 2024 Accepting new patients
Columbus Regional Health Network Past Accepting new patients

Locations

500 W Sagamore Ave
Clewiston, FL 33440
Phone (863) 902-3032

524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984

450 S Main St
Labelle, FL 33935
Phone (239) 482-5399

450 S Main St
Ste 1
Labelle, FL 33935
Phone (863) 675-2356

36 McNeill Plz
Whiteville, NC 28472
Phone (910) 640-4064

612 Jefferson St
#28
Whiteville, NC 28472
Phone (910) 640-4064

Interoperability endpoints

  • Direct secure messaging: aleon2951632@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1326018912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 TALON CT",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308094889",
            "telephone_number": "904-608-0476",
            "fax_number": "972-584-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 MCNEILL PLZ",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284728602",
            "telephone_number": "910-640-4064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 S Main St",
            "address_purpose": "LOCATION",
            "city": "LaBelle",
            "state": "FL",
            "postal_code": "339354629",
            "country_code": "US",
            "telephone_number": "863-675-2356",
            "fax_number": "863-675-2407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEON",
        "first_name": "ALBERTO",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "40932",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2018-01802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiteville, NC

Sources for this page

Verify at the official NPI Registry.