Leslie Sue Jacobson, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

2020-03986 Issued in NC

Practice address

3010 Trenwest Dr
Winston Salem, NC 27103-3208

Phone

(336) 970-5300

Fax

(336) 970-5298

NPI assigned

Apr 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, VA2 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

Diagnostic Radiology

Education

University of Miami, LM Miller School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Triad Radiology Associates PLLCGroup PAC ID 8729086194, 75 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014
• Northern Regional Hospital Hospital, Mount Airy, NC, CCN 340003
• Novant Health Thomasville Medical Center Hospital, Thomasville, NC, CCN 340085
• Lifebrite Community Hospital of Stokes Hospital, Danbury, NC, CCN 341317
• Ashe Memorial Hospital Hospital, Jefferson, NC, CCN 341325

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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 and National Provider Directory roles.

• Triad Radiology Associates PLLC

  • Diagnostic Radiology Physician
  • Winston Salem, NC
  • NPI 1659485001

  FL

  Medicare reassignment Care Compare group NPD
• Coastal Radiology Associates, PLLC

  • Diagnostic Radiology Physician
  • New Bern, NC
  • NPI 1144270307

  FL

  Medicare reassignment NPD
• Columbus Radiology Corp

  • Diagnostic Radiology Physician
  • Columbus, OH
  • NPI 1669408159

  FL

  Medicare reassignment NPD
• Golden State Imaging Associates Inc

  • Diagnostic Radiology Physician
  • Houston, TX
  • NPI 1144872052

  FL

  Medicare reassignment NPD
• Imaging Associates of New Mexico LLC

  • Diagnostic Radiology Physician
  • Albuquerque, NM
  • NPI 1629592464

  FL

  Medicare reassignment NPD
• Mori Bean and Brooks Inc

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1093782070
  Medicare reassignment NPD
• Singleton Associates PA

  • Diagnostic Radiology Physician
  • Shenandoah, TX
  • NPI 1538107875

  FL

  Medicare reassignment NPD
• Novant Health Enterprises Imaging, LLC

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1043005689
  NPD
• Novant Health Enterprises Imaging, LLC

  • Diagnostic Radiology Physician
  • Laurinburg, NC
  • NPI 1144015777
  NPD
• Novant Health Enterprises Imaging, LLC

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1235924846
  NPD
• Novant Health Enterprises Imaging, LLC

  • Diagnostic Radiology Physician
  • Huntersville, NC
  • NPI 1386439909
  NPD
• Novant Health Enterprises Imaging, LLC

  • Diagnostic Radiology Physician
  • Concord, NC
  • NPI 1447045067
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ashe Memorial Hospital Inc

  • Critical Access Hospital
  • Jefferson, NC
  • NPI 1376671370
  Care Compare affiliation
• Forsyth Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Winston Salem, NC
  • NPI 1447200233
  Care Compare affiliation
• Lifebrite Hospital Group of Stokes, LLC

  • Critical Access Hospital
  • Danbury, NC
  • NPI 1396288999
  Care Compare affiliation
• Northern Hospital of Surry County

  • General Acute Care Hospital
  • Mount Airy, NC
  • NPI 1366449282
  Care Compare affiliation
• Novant Health Thomasville Medical Center, LLC

  • General Acute Care Hospital
  • Thomasville, NC
  • NPI 1801848767
  Care Compare affiliation

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1366407496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63111",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282633111",
            "telephone_number": "330-655-1869",
            "fax_number": "610-956-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 TRENWEST DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033208",
            "telephone_number": "336-970-5300",
            "fax_number": "336-970-5298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5655 Hudson Dr Ste 210",
            "address_2": "Aris Radiology",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "OH",
            "postal_code": "442364455",
            "country_code": "US",
            "telephone_number": "330-655-1869",
            "fax_number": "330-655-3828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "LESLIE",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME73224",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301059418",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2020-03986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garcia Jacobs Harris
• Bradley Edgar Jacobs, MD
• Kimura Garcia Chermez'S Jacobs, PA-C
• Traci Jacobs, PHARM.D
• Mary E Jacobsen, PSY.D.
• Darius A. Jahann, M.D.
• Jai Siddhi Vinayak Inc.
• Jai Siddhi Vinayak Inc.
• Jaime E Trujillo MD PA
• Vasudha Jain, MD

• Diagnostic Radiology Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Diagnostic Radiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.