NPIMap

Organization Active NPI

David R. Lesch, M.D., LLC

Doing business as Georgia Neurology and Sleep Medicine Assoc

  • Specialist
  • Suwanee, GA
National Provider Identifier
1356410948
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
031968 Issued in GA
Legal business name
DAVID R. LESCH, M.D., LLC
Doing business as
Georgia Neurology and Sleep Medicine Assoc
Practice address
4385 Johns Creek Parkway
Suite 230
Suwanee, GA 30024-6095
Phone
(770) 814-9455
Fax
(678) 990-5846
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Authorized official

Name
Mr. David R. Lesch, M.D.NPI 1942240932
Title
Physician/Owner
Phone
(770) 814-9455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 031968 GA Primary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X GA

Addresses

Primary practice location

4385 Johns Creek Parkway
Suite 230
Suwanee, GA 30024-6095

Mailing address

4385 Johns Creek Parkway
Suite 230
Suwanee, GA 30024-6095
Phone (770) 814-9455

Other identifiers 2

IdentifierTypeStateIssuer
10055949OtherGAAMERIGROUP ID
914888852AMedicaidGA

Other names 1

  • GEORGIA NEUROLOGY AND SLEEP MEDICINE ASSOC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040624000364 GA Part B Supplier - Clinic/Group Practice 2466437249 Receives reassigned benefits from 2 practitioners
Practice locations: Jasper, GA; Marietta, GA; Suwanee, GA; Tucker, GA

National Provider Directory

National Provider Directory

Locations

620 J L White Dr
Ste 130
Jasper, GA 30143
Phone (706) 253-2378

711 Canton Rd NE
Ste 210
Marietta, GA 30060
Phone (770) 426-3977

4385 Johns Creek Pkwy
Ste 230
Suwanee, GA 30024
Phone (770) 814-9455

1459 Montreal Rd
Ste 207
Tucker, GA 30084
Phone (770) 491-2622

1370 Montreal Rd
Ste 185
Tucker, GA 30084
Phone (404) 296-2088

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1356410948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4385 JOHNS CREEK PARKWAY",
            "address_2": "SUITE 230",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246095",
            "telephone_number": "770-814-9455",
            "fax_number": "678-990-5846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4385 JOHNS CREEK PARKWAY",
            "address_2": "SUITE 230",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246095",
            "telephone_number": "770-814-9455",
            "fax_number": "678-990-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R. LESCH, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "LESCH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "770-814-9455",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "031968",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP ID",
            "identifier": "10055949",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "914888852A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GEORGIA NEUROLOGY AND SLEEP MEDICINE ASSOC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.