Individual provider Active NPI

Lesley Jill Cown, M.D., L.L.C.

  • Internal Medicine Physician
  • Macon, GA
National Provider Identifier
1346264702
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036129 Issued in GA
Practice address
4061 Vineville Ave
Macon, GA 31210-5039
Phone
(478) 757-7345
Fax
(478) 757-4911
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036129 GA Primary

Addresses

Primary practice location

4061 Vineville Ave
Macon, GA 31210-5039

Mailing address

4061 Vineville Ave
Macon, GA 31210-5039
Phone (478) 757-7345

Other identifiers 1

IdentifierTypeStateIssuer
00518559JMedicaidGA

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
I20080327000649 GA Practitioner - Internal Medicine 5193801348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Mercer University School of Medicine, 1991
Medicare assignment
May accept Medicare assignment
Group practices
Lesley Jill Cown MD LLCGroup PAC ID 6002042223, 3 clinicians

Practice addresses (Care Compare)

4061 Vineville Ave
Macon, GA 31210-5039

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Macon, GA, CCN 117152
  • Amedisys Home Health of Macon Home health agency, Macon, GA, CCN 117093
  • Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107
  • Coliseum Medical Centers, LLC, Dba Hospital, Macon, GA, CCN 110164
  • Atrium Health Navicent Peach Hospital, Byron, GA, CCN 111310
  • Piedmont Macon North Hospital Hospital, Macon, GA, CCN 110201
  • Emory Houston Hospital Warner Robins Hospital, Warner Robins, GA, CCN 110069

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lesley Jill Cown, M.D., L.L.C. Internal Medicine CurrentSince Jan 1, 2014 Accepting new patients

Locations

4061 Vineville Ave
Macon, GA 31210
Phone (478) 757-0221

Interoperability endpoints

  • Direct secure messaging: lesley.cown@ljcm.eclinicaldirectplus.com
  • Direct secure messaging: lcown433783@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 1

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 8

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1346264702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4061 VINEVILLE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312105039",
            "telephone_number": "478-757-7345",
            "fax_number": "478-757-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4061 VINEVILLE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312105039",
            "telephone_number": "478-757-7345",
            "fax_number": "478-757-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWN",
        "first_name": "LESLEY",
        "middle_name": "JILL",
        "credential": "M.D., L.L.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "036129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00518559J",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.